Can Maker Registration

1. * Company:
2. Address/P.O. Box:
3. Suite:
4. City:
5. State/Province:
6. Zip/Postal code:
7. Country:
8. Products manufactured:
9. * Primary contact:
10. Phone:
11. Fax:
12. * Email:
13. Web site:
14. Attendee 1 name:
15. Attendee 1 title:
16. Attendee 1 email:
17. Attendee 2 name:
18. Attendee 2 title:
19. Attendee 2 email:
20. Attendee 3 name:
21. Attendee 3 title:
22. Attendee 3 email:
23. Langauges spoken:

    English Mandarin Cantonese Korean Thai Japanese

1. Attendees to conference ($400) * How many? x $400 TOTAL: $
2. Comments or questions?

Checks payable to:
WorldCan Conferences
1300 West Belmont Avenue, Suite 304
Chicago, IL 60657

Please supply the name of the person responsible for payment of above amount due:

On clicking the Register Now button below, the person stated above understands the terms and conditions listed on this web page.