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DEMO Non-Member Event Registration
Your organization Logo would be displayed above

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Detailed information on      Events


To cancel a registration send email with subject "CANCEL" and details of Event and Invoice number to Registrar.

Professional development price entitles registrant to advance notification of local FMI events, discounted pricing and a subscription to the FMI Journal. Select Rate 61.
First Name **** Surname **** E-Mail **** Company Name ****
Street Address**** City**** Prov./St Post Code **** A Code Phone **** Ext
Select Appropriate Event from drop down list ****
*Privacy **Spec Diet *** Billing E-mail Rate **** Member of Member #
    
I accept cancellation (refund) Policy
*   Privacy: Select Yes to NOT have your info shared with other attendees at this event.
**  Spec Diet: If you require a Special Diet select from the drop down menu.
*** Billing Email: If you wish a copy of invoices and receipts sent to a second person please provide a Billing E-mail address, otherwise leave blank.

If you selected Rate 41 Event plus Professional Development Fee, please complete the Data Fields below so we are able to make sure you receive all the benefits you signed up for

Title Department Designations Sector you Work in
Work Chiefly Comprises Res ACode Res Ph (###-####) Fax ACode Fax Ph (###-####)

 

You will receive an Invoice and Payment instructions by email from eChapter