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TWO COMPLIMENTARY Registrations
West Coast Chapter Compliance Seminar


Thank you for your interest in the May 12th Compliance Seminar.
Please complete the following information to register.

If you have more than 2 attendees you'll need to register and pay on a separate form.

Contact Information:
First Name1:
Last Name1:
E-mail1:
Job Title1:
   
First Name2:
Last Name2:
E-mail2:
Job Title2:
   
Company:
Mailing Address:
Address2
City:
State:
Zip Code:
Telephone:

 

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

Registration Fee:
FREE for two people from your company
If you are sending 2 people from your company, both attendees must be listed on this form. 		 


Comments:

REGISTER:
By clicking the submit button, I am registering myself, or someone from my company, for the Compliance Seminar.
 

 

 

 

 

 
   

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

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