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Registration for the SCATA Chapter Event

Thank you for your interest in the March 27th SCATA Chapter Compliance Seminar. 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 additional registrations will not be accepted without payment.

Contact Information:
First Name:
Last Name:
Company:
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Mailing Address:
City:
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Telephone:
Fax:
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How did you hear about this event?
Website
Chapter Member
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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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