Seminar Registration - Step 1 of 3

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Registration Template

Attendee

Email *

CC Email

First Name *

Middle Initial

Last Name *

Profession

Address 1

Address 2

City *

State/Province

Zip Code *

Phone

Invalid value

Brochure / Referral Code

Seminar Information

Seminar*

Names*

Seminar Date*

CPA

CPA Number

State

EA Number

EAPTIN Number

Bar Information

Bar State/Number

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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Email Address

Firm

First Name

Last Name

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Select Attendee

*Multiple attendees have been found with this email address. Please select an attendee by clicking on the row.

Name

Firm Name

Address1

Address2

City

State

ZipCode

Phone

Email:

Name:

Firm:

Address 1:

Address 2:

City:

State:

Zip Code:

Phone:

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Payment Information

Payment Method *

Card Number *

Expiration Date *

CVV *

Billing Details

Name*

Address 1*