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Seminar Registration -
Step 1 of 3
1
Attendee Information
2
Payment
3
Confirm
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Registration Template
Attendee
Email
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CC Email
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Firm
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First Name
*
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Middle Initial
Last Name
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Profession
*
Text
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Address 1
*
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Address 2
City
*
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State/Province
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Zip Code
*
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Phone
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Brochure Code / Referral Source
Mailing Address
Same as Attendee Address
Due to the uncertainty of work-from-home in 2021 and that we generally mail physical materials (and possibly a surprise item) prior to our programs…please provide the mailing address from where you will be viewing the virtual sessions.
Mailing Address 1
*
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Mailing Address 2
Mailing City
*
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Mailing State/Province
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Mailing Zip Code
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Seminar Information
Seminar
*
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Registration Type
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Registration Type
Price
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Bound copies of the materials
Names
*
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Seminar Date
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Network Dinner
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CPA
CPA Number
State
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EA Number
EAPTIN Number
Bar Information
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I acknowledge and agree that I am receiving a license for only one person to view the seminar and agree not to permit others to view same. I further agree not to record the seminar.
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Name
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Phone
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Payment Information
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Card Number
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Expiration Date
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Billing Details
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