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Registration for Public Media Seminars Paragon Media offers 6 half-day modules, for which you may sign up individually: Media Planning & Buying Modules: #1 Terms & Concepts Day 1, 9AM - 12:30PM #2 Media Profiles Day 1, 1:30 - 5PM #3 Plan Development/Media Selection Day 2, 9AM - 12:30PM #4 Media Buying Day 2, 1:30 - 5PM Internet Modules: #5 Internet Media Planning & Buying 101 Day 3, 9AM - 12:30PM #6 Internet Media Planning & Buying 201 Day 3, 1:30 - 5PM You may choose to sign up for any of the following options: All 6 of the above 6 modules for a total cost of $2,495 for the first participant with substantial discounts for additional participants from the same company (discounts reflected in costs below). Any 5 of the above 6 modules for a total cost of $2,145 for the first participant with substantial discounts for additional participants from the same company (discounts reflected in costs below). Any 4 of the above 6 modules for a total cost of $1,845 for the first participant with substantial discounts for additional participants from the same company (discounts reflected in costs below). Any 3 of the above 6 modules for a total cost of $1,470 for the first participant with substantial discounts for additional participants from the same company (discounts reflected in costs below). Any 2 of the above 6 modules for a total cost of $1,095 for the first participant with substantial discounts for additional participants from the same company (discounts reflected in costs below). Any 1 of the above 6 modules for a total cost of $620 for the first participant with substantial discounts for additional participants from the same company (discounts reflected in costs below). We also offer many other discounts for which your company may be eligible: As part of our partnership with the American Association of Advertising Agencies, AAAA members get a 10% discount. $150 discount for each paying participant for 6 modules if payment is received 30 days prior to seminar ($125 discount for 5 modules, $100 discount for 4 modules, $75 discount for 3 modules, $50 discount for 2 modules, $25 discount for 1 module). Call and ask about our special student rates. How to register for the 2-for-1 Because our online registration form is not set up for accepting anything other than our standard rate, just register at the full rate and include a note in the comments field referring to the "2-for-1 offer." When we confirm the registration back to you, the 2-for-1 discount will be reflected. You may also register by phone by calling 973-748-7070.

Please register me for the following Media Seminar:
	Seminar:	- Make Selection - Atlanta [Sept. 22 - 23, 2010] 5-Modules Atlanta [Sept. 22 - 23, 2010] 4-Modules Atlanta [Sept. 22 - 23, 2010] 3-Modules Atlanta [Sept. 22 - 23, 2010] 2-Modules Atlanta [Sept. 22 - 23, 2010] 1-Module Chicago [Oct. 20 - 22, 2010] 6-Modules Chicago [Oct. 20 - 22, 2010] 5-Modules Chicago [Oct. 20 - 22, 2010] 4-Modules Chicago [Oct. 20 - 22, 2010] 3-Modules Chicago [Oct. 20 - 22, 2010] 2-Modules Chicago [Oct. 20 - 22, 2010] 1-Module New York [Nov. 10 - 12, 2010] 6-Modules New York [Nov. 10 - 12, 2010] 5-Modules New York [Nov. 10 - 12, 2010] 4-Modules New York [Nov. 10 - 12, 2010] 3-Modules New York [Nov. 10 - 12, 2010] 2-Modules New York [Nov. 10 - 12, 2010] 1-Module
Which modules would you like to attend? (Click here for list of modules available by city)		Module #1 Terms & Concepts Module #2 Media Profiles Module #3 Plan Development/Media Selection Module #4 Media Buying Module #5 Internet Media Planning & Buying 101 Module #6 Internet Media Planning & Buying 201
		You have chosen to attend a 1 Day Seminar.
How did you hear about us?		- Make Selection - Email from Paragon Media I am a past participant Past participant told me about program Search engine Banner or text ad on the Web SalesVantage's website AAAA's website Classified ad in Adweek/Mediaweek/Brandweek Calendar of Events Other (Please tell us the source)
Please specify:
	Name	Job Title	Email	Six Modules	Five Modules	Four Modules	Three Modules	Two Modules or 1-Day	One Module
1st Attendee				$2,495	$2,145	$1,845	$1,470	$1,095	$620
2nd Attendee				$2,295	$1,945	$1,645	$1,370	$1,045	$595
3rd Attendee				$2,245	$1,895	$1,595	$1,320	$995	$570
4th Attendee				$2,195	$1,845	$1,545	$1,270	$945	$545
5th Attendee				$2,145	$1,795	$1,495	$1,220	$895	$520
6th Attendee				$2,095	$1,745	$1,445	$1,170	$845	$495
7th Attendee				$2,045	$1,695	$1,395	$1,120	$795	$470
8th Attendee				FREE	FREE	FREE	FREE	FREE	FREE
9th Attendee				$2,045	$1,695	$1,395	$1,120	$795	$470
10th Attendee				FREE	FREE	FREE	FREE	FREE	FREE
	Company Name:
Address:
City:		State: Zip:
Phone:
Fax:
Check if eligible:		AAAA 10% Discount           (ONLY for members of the American Assoc. of Ad Agencies) 30 Days Advance Payment Discount (for each paying participant) NOTE: Not available in conjunction with 2-for-1 offer          $150 Discount for 6 modules          $125 Discount for 5 modules          $100 Discount for 4 modules           $75 Discount for 3 modules           $50 Discount for 2 modules (or 1 Day Seminar)           $25 Discount for 1 module
	Method of payment:	Check     Bill Company     Credit Card
		Send check made payable to: Paragon Media Inc. 388 Ridgewood Avenue Glen Ridge, NJ 07028 Bill my company. Send invoice to attention of: Card Type: AMEX Visa MasterCard Card #: Expiration Date: MM 01 02 03 04 05 06 07 08 09 10 11 12 / YYYY 2010 2011 2012 2013 2014 2015 2016 Name on Card:
	Name:
Send receipt to:	Email:
Comments:
You may also register by:		Phone - (973) 748-7070 Fax - (973) 743-6602 Mail - Send form and payment to: Paragon Media Inc. 388 Ridgewood Avenue Glen Ridge, NJ 07028
	Terms:	All Public Media Seminars - Location and confirmation will be emailed approximately 30 days before seminar. IMPORTANT: While highly unlikely, at times it may be necessary for us to cancel a seminar. Please do not make non-cancellable travel arrangements until you receive the email from us confirming the location. Full payment must be received prior to the start of the seminar. No refund if you do not show up for a seminar. If you are unable to attend, a substitute may attend in your place. Non-U.S. registrants are required to pay by credit card.
Cancellations:		6 modules - Refund will be granted, minus a $200 per person cancellation fee, only if you cancel at least 10 business days prior to the seminar (less than 10 days incurs a $400 per person cancellation fee). 5 modules - Refund will be granted, minus a $175 per person cancellation fee, only if you cancel at least 10 business days prior to the seminar (less than 10 days incurs a $350 per person cancellation fee). 4 modules - Refund will be granted, minus a $150 per person cancellation fee, only if you cancel at least 10 business days prior to the seminar (less than 10 days incurs a $300 per person cancellation fee). 3 modules - Refund will be granted, minus a $125 per person cancellation fee, only if you cancel at least 10 business days prior to the seminar (less than 10 days incurs a $250 per person cancellation fee). 2 modules - Refund will be granted, minus a $100 per person cancellation fee, only if you cancel at least 10 business days prior to the seminar (less than 10 days incurs a $200 per person cancellation fee). 1 module - Refund will be granted, minus a $75 per person cancellation fee, only if you cancel at least 10 business days prior to the seminar (less than 10 days incurs a $150 per person cancellation fee).
Transfers:		All Public Seminars - You may transfer to a future seminar, paying a $75 per person transfer fee if we are notified at least 10 business days prior to the seminar (less than 10 days incurs a $150 per person transfer fee).
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