CE Day Registration Form - May 10, 2018
Please complete this form to register for the May 10th DFW ISCEBS Continuing Education (CE) Day. Please make note of the meeting time and location: Maggiano's Little Italy (NorthPark Center) 205 N Park Ctr. Dallas, Texas, 75225 8:00 AM - 4:30 PM Please complete a separate registration form for each attendee.
1) Please type in your first and last name. (No middle name or initial please.)
2) Are you a DFW ISCEBS Chapter member?
No
No, but I am interested in local membership
Yes
3) Please type in your company name
4) Please select a registration option. (All membership will be verified.)
Entire Day - $100 NonMember
Entire Day - $75.00 Member
Morning Session - $60 NonMember
Morning Session - $45 Member
Afternoon Session - $60 NonMember
Afternoon Session - $45 Member
Lunch Only - $35 NonMember
Lunch Only - $25 Member
5) Please include your email address
6) Do you have the CEBS designation?
No
Yes
7) By completing this form, do you agree to pay the required fees? (If you need to cancel, please email the chapter no later than 5/8/18)
No
Yes