Student Registration Information
Public Webinars

Thank you for registering for our public seminars. Please provide the following information.

Print the completed form and fax to 651-730-0965, or mail to:
Public Webinar Registration
ACCTA, Inc.
P. O. Box 25602
St. Paul, MN 55125

Seminar Title: _________________________________________________

Date/Time: ________________________________________________

Student Name: ________________________________________________

Organization: _________________________________________________

Address: _____________________________________________________

Phone: ___________________________

Email: ___________________________

Fax: _____________________________

Payment Information:

___ Check (included)

___ Purchase Order

P. O. Number _______________ (attach copy of P.O.)

Total $____________
  • If you are paying by Purchase Order or check, registration will not be accepted until we have received the P.O. or check.
  • Cancellation of a registration more than two weeks before the seminar will incur a $25 processing charge. If you are paying by P.O., you will be billed for the processing charge.
  • No refunds will be given for cancellations within two weeks of the seminar. If you are paying by P.O., you will be billed for the entire registration cost.
Number Ordered
Registration Type
Cost
Notes
x
Single Registration
$79
Permits a single individual to attend the presention.
x
Single Registration + Recording
$229
Single registration and receive the slides and recording after the presentation
x
Office Registration
$199
Everyone from a single office can attend the presentation.
x
Office Registration + Recording
$347
Office registration and receive the slides and recording after the presentation.

 

Comments:
(What do you hope to learn from this presentation? Are you having particular problems that you hope to solve?)

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Rev. 03/08