Florida ATA Chapter - Registration

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Thank you for your interest in the Oct. 22 ATA Uncover the Mystery of Compliance. Please complete the following information to register.

** If you have more than 2 attendees from your company and you prefer to pay by check or offline, you can print this registration form and mail or fax it in. Please note that no additional registrations are accepted without payment.

Contact Information:
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How did you hear about this event?
	Website	Chapter Member
	Newsletter	E-mail
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	ATA Staff

Registration Fee:
	Member $150
	Non-Member $200

Method of Payment:
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By clicking the submit button, I agree to authorize above total amount according to card issuer agreement.


Event Cancellation Policy: Cancellations to events must be made in writing and received no later than two weeks in advance of the event date to receive a full refund. Those cancellations received after that point are non-refundable.

American Teleservices Association
3815 River Crossing Parkway, Suite 20
Indianapolis, IN 46240
317.816.9336 ● www.ataconnect.org