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ICSC 2010 CenterBuild Conference <br />The Premier Retail Design & Construction Conference <br />Please check all that apply: <br />❑ First Time CenterBuild Attendee <br />❑ Next Generation: <br />I am an up-and-coming professional looking to develop my career and build relationships within the retail development, design or construction industry. <br />Name <br />Company <br />Address <br />City State/Province Zip/Postal Code <br />Telephone Fax <br />E-mail Your ICSC membership I.D.# <br />Secondary E-mail <br />❑ Please check here if any of the above information has recently changed. <br />I am registering for (check one): <br />❑ Member @ $545 ❑ Non -Member @ $745 ❑ Student @ $50 ❑ CDP Test Review @ $75 for members; $100 for non-members <br />To qualify for the member fee, each registrant must be an ICSC member. A company membership does not entitle every employee of that company to membership. <br />An affiliate membership is required. <br />Method of Payment <br />❑ Check or money order made payable to ICSC enclosed for $ ❑ MasterCard ❑ Visa ❑ AMEX ❑ Discover $ <br />Name (as it appears on credit card) <br />Credit Card Number (include all digits) <br />Signature <br />My profession is best described as: <br />❑ Architect <br />❑ Designer <br />Expiration Date (month/year) <br />❑ Tenant Coordinator ❑ Engineer ❑ General Contractor ❑ Owner/Developer <br />❑ SupplierNendor ❑ Consultant ❑ Project/Development ❑ Retailer <br />2010CB-A <br />