Seminar Registration - Step 1 of 3

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Registration Template

Attendee

Email *

CC Email

First Name *

Middle Initial

Last Name *

Profession *
(Pick all that apply)

Address 1*

Address 2

City *

State*

Zip Code *

Phone

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What was the primary way you learned about our 2023 programs?
(Pick one) *

Mailing Address

Same as Attendee Address

Should we mail physical materials to you in the future, please provide your preferred mailing address.

Mailing Address 1 *

Mailing Address 2

Mailing City *

Mailing State/Province *

Mailing Zip Code *

Seminar Information

Seminar*

Discount Code

Names*

Seminar Date*

CPA

CPA Number

State

EA Number

EAPTIN Number

Bar Information

Bar State/Number

Search For Your Prior Seminar Registration Information

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*