Registrant Information

First Name
Last Name
Certificate #
Badge Name
Company
Street Address
City
State
Zip Code
Telephone
Fax
Email

Course Information

Course Title:
Twenty-Eighth Annual Industry, Commerce & Banking Conference
Date:
October 16-17, 2008
Location:
Arkansas Society of CPAs Conference Center, Little Rock, Arkansas

Are you a member of your State Society?
If yes, what State?
Registration Fee
Payment Method
Credit Card #
Expiration Date
Cardholder Name

How to Register:

1) Print and fax this form, with MasterCard or Visa information, to 501-664-8320.

2) Or, you may mail this form, with a check, to Arkansas Society of CPAs, 11300 Executive Center Drive, Little Rock, AR 72211-4352. 

3) Or, you may register by phone, with your MasterCard, Visa or American Express, by calling 501-664-8739 or 800-482-8739 (in Arkansas).

4) Or, you may submit this form via e-mail, by pressing the "submit" button below. 

Please Note: Payment is required in order to reserve your registration in a class. Submitting this form without payment does not guarantee your registration. Mailed payments should be received 10 days prior to the course date, or the registration will be cancelled.

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Contact the Arkansas Society of CPAs at bangel@arcpa.org or 501-664-8739.
Send mail to ssubedi@arcpa.org with questions or comments about this web site.
Copyright © 2000 Arkansas Society of Certified Public Accountants
Last modified: April 25, 2008