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Registration for the Great Lakes Chapter Event

REGISTRATION - ADDITIONAL ATTENDEES

Uncover the Mystery of Compliance
Schaumburg, Illinois
June 11, 2008

 

Contact Information:
First Name:
Last Name:
Company:
Job Title:
Mailing Address:
City:
State:
Zip Code:
Telephone:
Fax:
E-mail:

How did you hear about this event?
Website
Chapter Member
Newsletter
E-mail
Colleague
Other
ATA Staff

Registration Fee:
Member
$150		  
Non-Member
$200		  

 

Method of Payment:
Credit Card:
Card Number:
Name on Card:
Expiration Date:
   
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

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