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CCBE Seminar Reservation Form
 
Please select one or more CCBE Events you would like to attend

  Date Time Event Location Status
 
Are you a CCBE Member?  Yes No    
Company Name:  Company Phone: 
Company Address:  Company Fax: 
  How did you hear about the seminar?
City/State/Zip: 
 
Seminar Attendee Information
           
Name:  Title:  Email: 
Name:  Title:  Email: 
Name:  Title:  Email: 
           
 
Payment Options:   Pay with Visa or MasterCard.
      Contact me to obtain credit card info.
  I'll send a check to CCBE
 
No shows will be charged the seminar fee, unless reservation is
cancelled at least 48 hours prior to the date of the seminar!!
 
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Please enter the numbers displayed above:
 
= Required Entry