Gemworld International, Inc.: WOGC Registration Form

	World of Gems Conference
	Held September 13-14, 2008
	Post Conference Book Order

NOTE: after you complete this form page, a results page will be displayed for review. You must click the "SUBMIT" button on the results page to place the order.

Shipping Address:

*Name
Company
*Address
*City
*State
Country
Zip
* Phone
Fax
* E-mail
	All information on this form will be kept confidential. * marks required fields

World of Gems Conference:

Post Conference Book	$29.95
Postage and handling added as follows: USA and Canada - $7.00 Elsewhere - $14.00 Sales tax added in Illinois

Comments

Payment:

* Card Type	Visa MasterCard AMEX Discover
* Card Number
* Expiration Date
* CVV Code	Last three digits on the back of your card.
* Card Holder Name
All payment fields are required. This information will not be included in your confirmation email for your security.

IMPORTANT: The form results & total will be displayed on the next page. You must click the "SUBMIT" button on the next page to place your order.

If you prefer to mail this order form with your payment please print this page,
complete and mail to:

Gemworld International, Inc.,
2640 Patriot Blvd, Suite 240
Glenview, Illinois 60026
USA
Ph: 847-657-0555 Fax: 847-657-0550

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