Lorman Education Services
2510 Alpine Road . Eau Claire, WI 54703 . 866-352-9539




December 31, 1969
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Ordering Instructions

To mail in your order, please print and complete the following page. Then mail it to:

Lorman Education Services
Dept 5382
PO Box 2933
Milwaukee, WI 53201-2933


You may also place orders by phone (866) 352-9539 or via the Internet at www.lorman.com.

Lorman Education Services
2510 Alpine Road . Eau Claire, WI 54703 . 866-352-9539



Order Form


,
December 31, 1969

Seminar ID:
Priority Code: 18117

Seminar Tuition
______ $0.00 for each attendee

Names of Attendees
-------------------------------------------------------------------------------

Name__________________________ Title_______________ E-mail * _______________
Name__________________________ Title_______________ E-mail * _______________
Name__________________________ Title_______________ E-mail * _______________
Name__________________________ Title_______________ E-mail * _______________
Name__________________________ Title_______________ E-mail * _______________

Company Information
-------------------------------------------------------------------------------

Firm Name _________________________________________________________________
Approving Manager: ________________________________________________________
Approving Manager Title: __________________________________________________
Approving Manager E-Mail *: _______________________________________________
Address_________________________________________ City _____________________
State/Zip__________________________________________________________________
Telephone (______) _________________________ Fax * (______) ____________________

Method of Payment
-------------------------------------------------------------------------------

___ Check enclosed payable to Lorman Education Services
___ Charge to credit card   ___AE  ___MC  ___VISA
Exp. Date________________________
Card Number _______________________________________________

Signature ________________________________________________________


When we receive your registration, we place your name on the seminar roster. Please direct questions to the Registration Department at (715)833-3959.

This seminar may be recorded. Your registration constitutes your consent to such recording.

Cancellation Policy
Substitute registrants are welcome and may be named at any time. If you cancel six or more business days prior to the seminar, you will receive a full refund, less a $20.00 service charge per attendee ($30.00 for Canadian registrations). If you cancel within five business days, you are not entitled to a cash refund. However, as a courtesy, we will allow you to apply your payment toward a future Lorman seminar within one year from the date you cancel. Your payment is transferable. Please note that if you do not attend and you do not contact us to cancel as described above, you are responsible for the entire payment.

For Arkansas Cancellation Policy please visit http://www.$site_com_name/contact/arkansas_cancellation_policy.php

* Providing your fax and e-mail constitutes an express invitation to send you fax and e-mail advertisements about future Lorman seminars.