Event Registration

Use this form to register and pay with a credit card or check. If you choose to pay by check, the information you enter below will be added to our records, but your reservation will not be confirmed until your payment is received.

You are registering for:

SEMINAR: Guerrilla Publicity
Mon, Feb 22, 2010
6:30 PM - 8:30 PM

This event will take place at:

Etra Fine Art
50 N.E. 40th Street
Miami, FL 33137

Event Costs:

Please indicate your membership level:

	Non- Member: No Charge
	Chapter Member: No Charge

Personal Information:

Please enter your name as you wish it to appear on your badge. To include your certification, enter it after your last name.
Example: Smith, CPPB

First Name:
Last Name:
E-mail Address:
Agency:
Address:
City:
State:
Zip Code:
Phone Number:	- -