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Best Practices 2003 Registration Form

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Print and mail or fax the form below to:

Upstream Academy--HeadWaters™ 2003 P O Box 1147 · Helena MT 59624 Phone: 406-495-1850 · Fax: 406-442-1100

Firm: _____________________________________________
Address: _____________________________________________
City: ________________________ State: __________ Zip: _____________
Phone: ________________________ Fax: ____________________________
Attendee: ________________________ Email: ____________________________
Attendee: ________________________ Email: ____________________________
Attendee: ________________________ Email: ____________________________
How Many? Extended Amount
Upstream Academy Members $795 ________ __________
Non-Academy Members - 1st attendee $1,295 ________ __________
Non-Academy Members - additional attendees $995 ________ __________
Total Due __________
Check Enclosed* Visa Mastercard AMEX
Card Number: ________________________________________ Exp. Date: ________
Name of Cardholder: _________________________________
Signature: __________________________________________
[1] *Please make checks payable to Upstream Academy (Canadian and overseas: use checks payable through a U.S. bank, or international money order.
Tags 
Administrative [2]
Source URL: http://www.accountingweb.com/topic/best-practices-2003-registration-form

Links:
[1] http://www.upstreamacademy.com
[2] http://www.accountingweb.com/tags/administrative