If a contact person makes the registration for the registrant, enter name, daytime phone, e-mail address, and fax for contact person

Please make seminar registration selections:

Please complete the following worksheet to compute your total registration charges.  Use the registration fees page to enter the correct amount for your registration.

In order to confirm the registration, we need credit card type, a credit card number, expiration date, and name of the credit card holder.  In addition, please have the credit card holder sign and date the form.

Signature of credit card holder:___________________________________________

Date:____________________________________________________________________

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