| Name
__________________________________________ Rank __________ |
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Agency/Dept.
___________________________________ |
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Address
______________________________________ Suite ____________ |
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City,
State, Zip ___________________________________________________ |
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Telephone
__________________________ Fax ________________________ |
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E-mail
address ___________________________________________________ |
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Note: Payment must be made before start of
course - Please send P.O. with registration form |
|
Payment
Amt. $___________ Check # _______ Purchase order #
______________ |
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Please
charge to Visa / MC # __________________________ Exp.
Date:_____/_____ |
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| I agree to pay above total amount according to
card issuer agreement |
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Signature
of cardholder:_______________________________ Date _________________
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Cancellation does not affect the registrant's
financial responsibility unless we receive notice 10 days prior to the start of the course.
This
copyrighted course contains exclusive confidential material developed by Chris Ryan and
Ryan & Assoc. Public Relations.
Audio taping, video taping and/or recording by any
other means other than that done by the presenter in conjunction with the
course is
strictly prohibited. Thank you for your cooperation. |
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