CONFERENCE REGISTRATION FORM 36th ANNUAL UCOWF TRAINING CONFERENCE Snowmass Village, Colorado September 14th through September 18th, 2008
Conference Registrant Information (Use Tab key or Mouse to change fields) NAME: TITLE: AGENCY NAME: AGENCY ADDRESS: AGENCY TELEPHONE #: ( ) Ext. FAX: E-MAIL ADDRESS: ALTERNATE MAILING ADDRESS (Complete only if mail will NOT go to agency address): Are you: CURRENT CWFI? Yes No CURRENT UCOWF MEMBER? Yes No Registration Fee Schedule: FULL REGISTRATION FEE: $245.00 (EARLY REGISTRATION: $235.00 if Registration is submitted BEFORE 8/14/08) DAILY REGISTRATION FEE: $70.00 PER DAY Registration fee includes all course materials, breaks, luncheon* on Tuesday and banquet* on Wednesday. Daily registration includes course material and breaks only, no meals are included. *If you require a special meal, please contact Julie Jacobson (see below) Register me now for: Full Registration Daily Registration for: Monday Tuesday Wednesday Methods of Payment Credit Card: You can pay by credit card (Mastercard or Visa) at the conference or in advance. To ensure your payment is correctly matched to you, please register first if you choose to pay by credit card through this website at a later date. I am not paying by credit card and will pay by: Check at the Conference Mail Purchase Order at Conference Invoice at the Conference (If you plan to invoice, you must bring the necessary paperwork for UCOWF to sign, otherwise, payment is expected. An invoice will be provided at registration and the member is responsible for payment if sponsoring organization fails to pay.) Make Checks Payable to: UCOWF Mailing Address: United Council on Welfare Fraud P.O. BOX 778, Benton, AR 72018-0778 QUESTIONS? Contact Julie Jacobson, (303) 271-4190, E-mail: [email protected] or Ann Ruffin, (501) 778- 9901, Email: [email protected] To take advantage of the early registration fee, submit online registration or print and mail this completed page before August 14, 2008 Early registration does not require early payment Print or Register me now:
NAME: TITLE: AGENCY NAME: AGENCY ADDRESS: AGENCY TELEPHONE #: ( ) Ext. FAX: E-MAIL ADDRESS: ALTERNATE MAILING ADDRESS (Complete only if mail will NOT go to agency address): Are you: CURRENT CWFI? Yes No CURRENT UCOWF MEMBER? Yes No Registration Fee Schedule: FULL REGISTRATION FEE: $245.00 (EARLY REGISTRATION: $235.00 if Registration is submitted BEFORE 8/14/08) DAILY REGISTRATION FEE: $70.00 PER DAY Registration fee includes all course materials, breaks, luncheon* on Tuesday and banquet* on Wednesday. Daily registration includes course material and breaks only, no meals are included. *If you require a special meal, please contact Julie Jacobson (see below) Register me now for: Full Registration Daily Registration for: Monday Tuesday Wednesday Methods of Payment Credit Card: You can pay by credit card (Mastercard or Visa) at the conference or in advance. To ensure your payment is correctly matched to you, please register first if you choose to pay by credit card through this website at a later date. I am not paying by credit card and will pay by: Check at the Conference Mail Purchase Order at Conference Invoice at the Conference (If you plan to invoice, you must bring the necessary paperwork for UCOWF to sign, otherwise, payment is expected. An invoice will be provided at registration and the member is responsible for payment if sponsoring organization fails to pay.) Make Checks Payable to: UCOWF Mailing Address: United Council on Welfare Fraud P.O. BOX 778, Benton, AR 72018-0778 QUESTIONS? Contact Julie Jacobson, (303) 271-4190, E-mail: [email protected] or Ann Ruffin, (501) 778- 9901, Email: [email protected] To take advantage of the early registration fee, submit online registration or print and mail this completed page before August 14, 2008 Early registration does not require early payment Print or Register me now:
Registration fee includes all course materials, breaks, luncheon* on Tuesday and banquet* on Wednesday. Daily registration includes course material and breaks only, no meals are included.
*If you require a special meal, please contact Julie Jacobson (see below) Register me now for: Full Registration Daily Registration for: Monday Tuesday Wednesday Methods of Payment Credit Card: You can pay by credit card (Mastercard or Visa) at the conference or in advance. To ensure your payment is correctly matched to you, please register first if you choose to pay by credit card through this website at a later date. I am not paying by credit card and will pay by: Check at the Conference Mail Purchase Order at Conference Invoice at the Conference (If you plan to invoice, you must bring the necessary paperwork for UCOWF to sign, otherwise, payment is expected. An invoice will be provided at registration and the member is responsible for payment if sponsoring organization fails to pay.)
Register me now for: Full Registration Daily Registration for: Monday Tuesday Wednesday Methods of Payment Credit Card: You can pay by credit card (Mastercard or Visa) at the conference or in advance. To ensure your payment is correctly matched to you, please register first if you choose to pay by credit card through this website at a later date. I am not paying by credit card and will pay by: Check at the Conference Mail Purchase Order at Conference Invoice at the Conference (If you plan to invoice, you must bring the necessary paperwork for UCOWF to sign, otherwise, payment is expected. An invoice will be provided at registration and the member is responsible for payment if sponsoring organization fails to pay.)
Methods of Payment
Credit Card: You can pay by credit card (Mastercard or Visa) at the conference or in advance. To ensure your payment is correctly matched to you, please register first if you choose to pay by credit card through this website at a later date.
I am not paying by credit card and will pay by: Check at the Conference Mail Purchase Order at Conference Invoice at the Conference (If you plan to invoice, you must bring the necessary paperwork for UCOWF to sign, otherwise, payment is expected. An invoice will be provided at registration and the member is responsible for payment if sponsoring organization fails to pay.)
Make Checks Payable to: UCOWF Mailing Address: United Council on Welfare Fraud P.O. BOX 778, Benton, AR 72018-0778
QUESTIONS?
Contact Julie Jacobson, (303) 271-4190, E-mail: [email protected] or Ann Ruffin, (501) 778- 9901, Email: [email protected]
To take advantage of the early registration fee, submit online registration or print and mail this completed page before August 14, 2008
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