CSI 2008
CAREER SUCCESS INSTITUTE

 

REGISTRATION FORM
 

Complete one form for each attendee.

Directions: Tab and type to complete this page. Print it. Push the [Submit] button to start the reservation process.

  • If you are paying by check: Mail this completed form with your check to AFPNCOH, 703 South Main Street #211, Akron OH  44311.
  • If you are paying by MasterCard or Visa: Fax this completed form with your credit card information to 330-315-0399.

If you make a reservation, you are responsible for the fee even if you do not attend. Cancellations must be received by the posted reservation deadline.

Questions? Phone: 330-315-0402    Live Help: www.pclivehelp.org

Name

Organization

Address

City, State, Zip

Daytime Phone Number

E-Mail Address (required)

I will be attending

Full Day      Morning & Lunch (Half Day)  Lunch & Afternoon (Half-Day) 

I prefer the following breakout sessions:

 

Note: Space is limited. Preference will be given on a first-come basis.

 

 

 

I am a member of AFP

Yes  No 

Costs:

AFP Members: $95 full day • $65 half day
Non-Members: $145 full day • $105 half day

Total amount you will pay for CSI:

$

Every Member Campaign Contribution:

Everyone who contributes to the EMC by 1:00 PM on September 19th will be entered into a drawing to receive gift baskets and other nice door prizes.

$

Payment option:

  • If you are paying by check: Mail this completed form with your check to AFPNCOH, 703 South Main Street #211, Akron OH  44311.
  • If you are paying by MasterCard or Visa: Print this form, write down your credit card information, and fax this completed form 330-315-0399.

Check Make checks payable to the AFP North Central Ohio Chapter

Charge my credit card:  __ Visa         __ Mastercard
       Will appear as “INFO LINE” on your statement

Number _____________________________ Exp _________

Signature ________________________Security Code_____

 

Questions for the speaker(s):

 

Who else should receive this announcement?
Name
Organization
E-mail Address