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Sign Up For
Shap Talk

 

Register online below or print the registration form.
 
 
 
$75.00 per person for early-bird registrations by July 12th    
$90.00 per person for registrations after July 12th    
$60.00 per ticket per person for Crab Feast (optional)    
   
 
First Name:
Last Name:
Company:
Title:
Address1:
Address2:
City:
State or Province:
Zip or Postal code:
Country:
Email Address:
Phone Number: (include area and/or country code)
   
  Add another participant  
     
 
First Name:
 
Last Name:
 
Title:
  
 
   Add Crab Feast tickets at $60 each:  
 
Have three or more participants? Please register by using the registration form or call us at 800-695-9465 at ext 290
 
Payment  Options  
Credit Card Type:
Credit Card Number: 
Credit Card Security Number: 
Expiration Date:   
Name On Credit Card:
Total to be charged to card:
   
   
  
 
 
   
 
Please click the 'Submit'  button only once, then wait.
It will take about 10 seconds to process your request.
You will then be taken to a confirmation page.
   
   
  Check or Money Order
payable to Samuel Shapiro & Company, Inc. and mailed to:
     Samuel Shapiro & Company, Inc.
     One Charles Center
     100 North Charles Street
     Suite 1200
     Baltimore, MD 21201-3895
     Attn: Jane Taeger
   
  Payment must be received at least one week prior to the event.
   
  Questions or if you would like to register by phone? Call Jane Taeger at 800-695-9465 at ext 290
   
   
 
THANK YOU FOR REGISTERING!