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West Coast Corporate Restructuring Conference
September 29, 2005
Grand Hyatt San Francisco on Union Square

Step 1:Registrant Info (Note: Please check your spelling for errors.)
Full Name:
Nickname:
Firm:
Position:
Address:
 
City:
State:
Zip Code:
Country:
Phone:
Fax:
Email:
Alternate Email:
AIRA Member CIRA Non-Member
Step 2: Registration Fees
Conference & Reception
Member
Non-Member
Before 8/31/05
$325 $375
After 8/31/05
$355 $405
Gov/Education
$100  
Reception Only
$ 50  
Step 3: Payment
Credit Card Type:
   
Card Number:
- - -
Exp. Date:
/
Name on Card:
Billing Zipcode:
Step 4: Comments & Special Instructions

Continuing Education Credits are available for this conference. If you would like to receive them, please complete the section below:
CLE Credit Bar # : State(s):
CPE Credit    
       
Step 5: Submit Your Form

Cancellation Policy:
Cancellations after 9/15/05 are subject to a $50 dollar processing fee.


If you would like to order by FAX, please fill this form out online, print it out, and FAX it to:

FAX to: 541-858-9187
Attention: Jan

Need Help? E-mail us or give us a call at: 541-858-1665

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