Online Registration for
Referendum Planning – A Systems Approach
October 7, 2009
You must register for this seminar by October 5th, 2009.
You may register by mailing a printed copy of the completed registration form below, along with a check for total fees or your credit card information to:
Speer Financial, Inc.
Attention: Mary Johnson
One North LaSalle Street, Suite 4100
Chicago, IL 60602
Please make check payable to Speer Financial, Inc.
You may also register by printing and completing this form, faxing it to Mary Johnson at 312-346-8833 or by e-mailing a scan to mjohnson@speerfinancial.com. If paying by check, you will also need to mail a printed copy of this completed registration form along with a check for total fees to the address shown above.
| Click here for Seminar Agenda and Information |
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| PAYPAL PAYMENT OPTION You must still complete and submit the registration form below, but you may use this area first to pay your fees through our secure PayPal shopping cart. |
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| **Seminar Fees: Before Sept. 30th $75 per attendee, $80 per attendee after Sept. 30th. CEU's $5 each (Parks Only) |
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| Name of Firm*: | ||
| Address*: | ||
| City, ST*: | ||
| Zipcode*: | ||
| Phone*: | ||
| E-mail address*: | ||
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| Register Before Sept. 30 and earn a $5 rebate |
Referendum Seminar Registration |
CEU's @ $5 Parks Only |
Total $ | ||
| Attendee 1: Title: |
Before 9/30/09 1@$75 |
After 9/30/09 1@$80 |
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| Attendee 2: Title: |
1@$75 | 1@$80 | |||
| Attendee 3: Title: |
1@$75 | 1@$80 | |||
| Attendee 4: Title: |
1@$75 | 1@$80 | |||
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| If paying by Credit Card: | ||
| Type: | Visa Mastercard Discover | |
| Name on Card: | ||
| Card Number: | ||
| Expiration Date: | ||
| Vin# back of card: | ||
| Billing Zipcode: | ||
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| Anticipated Referendum: Feb 2010 Nov 2010 Spring 2011 Other | ||
| Referendum Purpose: Capital Operating Both Other | ||
| Membership (please check one): IASA IPRA IAPD ILA | ||
| Each Association receives a rebate for each member attending each workshop | ||
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| Click here for Seminar Agenda and Information |