Rome Solutions Showcase Booth Registration

1. Contact Name:
2. Address:
3. City:
4. State/Province:
5. Postal/Zip Code:
6. Country:
7. Telephone:
8. Fax:
9. Email:

1. Card Number:
2. Expiration:
3. Card Holder Name:
4. Cheque Number:

If you would prefer not to submit your contract online you can mail a signed contract and payment to: ACTE, 515 King Street, Suite 440, Alexandria, VA 22314 or fax it to 1-703-683-2720. Upon receipt, ACTE will send you a written confirmation. Please contact Noel Lee with any questions or for more information. She can be reached at 1-703-683-5322 or [email protected]

(Note: If you require a copy of this contract or wish to pay by check, please print using your browser's print feature before submitting this form)