Secure Chicago Registration Form


Space is limited. Register early to assure your place!

Registration fee Special of $850 if you register before Aug 14
$950 if you register after Aug 14

Name:  
Title:  
Company:  
Address:  
City/State/Zip:  
Phone:  
Fax:  
Email:  
Nickname (name tag):  


Billing Information

Check Enclosed
Reserve My Place Now, Bill Me (Must be paid before Aug 21 h
Charge My Credit Card (Visa, MasterCard, Discover, American Express)
Amount Submitted:

Select Payment Method Cardholder's Name Credit Card Number Expiration

Signature (if mailing or faxing): _____________________________________


How To Register

Online: Submit this completed secure form to us
Fax: Fax completed form to 262.594.5715
Call: 262.594.5198 with questions.
Email: Email to info@RandallGoodden.com or request a Word.doc form
Mail: Send completed form and check to:
Goodden Enterprises LLC
S95 W34660 Jericho Dr
Eagle, WI 53119 USA

Important - Contact us if you donít receive a registration acknowledgement within 24 hours.


Refund Policy

Goodden Enterprises will give you a complete refund if you cancel before Aug 14, 2015. Cancellations between Aug 14 and Aug 28 you will be charged a $200 cancellation fee. No refunds after Aug 28 but substitutions are allowed.

Before you submit,
please be sure the form information is correct and complete.

Note: Please be patient.  This form may take a minute or two to submit.  A "Thank You" page will appear when it has been successfully submitted.

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