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Payment InformationTOTAL DUE $_______________ Payment Enclosed: %uf071 Check (Payable to %u201cAGS%u201d) %uf071 Credit Card (Visa/Mastercard/Amex) CARD NUMBER: ____________________________________________________________EXP. DATE: ______________ CVV#:__________________ BILLING ZIP ________________Conference RegistrationBY JULY 7 AFTER JULY 7%uf071 CONFERENCE & WORKSHOP (MON. - THUR) $1050.00 $1100.00 $ _____________%uf071 CONFERENCE ONLY (MON. - WED.) $945.00 $995.00 $ _____________ %uf071 THURSDAY WORKSHOP (THUR.) $295.00 $345.00 $ _____________%uf071 STUDENT RATE (MON. - WED.) $495.00 $545.00 $ _____________%uf071 SUNSET DINNER CRUISE - REGISTRANT PRICE $70.00 $ _____________%uf071 SUNSET DINNER CRUISE - GUEST PRICE $140.00 X _______ # OF TIX = $ _____________Registration FormName Last (Surname): _____________________________________ First __________________________Middle Init. ________________First name/Nickname for badge ______________________________ Company _______________________________________________ Mailing address is my %uf071 Home %uf071 Business Mailing Address _______________________________________________________________________ City ______________________ State/Province ___________________________________ Postal/Zip Code __________________ Country _______________________Daytime phone number: ( __________ ) _____________________ FAX number: ( __________ ) ________________________________Email: ___________________________________________________________________________________________________________AGS CONFERENCE 2025JULY 28 - 31, 2025 ~ Harrah%u2019s Lake Tahoe, NV