Best Practices 2003 Registration Form

Posted by AccountingWEB US on Sep 12 2003 448 printer friendly

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:	__________________________________________

*Please make checks payable to Upstream Academy (Canadian and overseas: use checks payable through a U.S. bank, or international money order.

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Best Practices 2003 Registration Form

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