NY Metro ASHI

The Founding Chapter

                                                                         

 

 

Seminar Registration Confirmation


Dear Name,

You have successfully registered for the 2009 NY Metro Seminar!  The following is the information you entered:

First Name: First_Name
Middle Initial: MI
Last Name: Last_Name
Title: Title
Company: Company
Street: Street
Town: Town
State: State
Zip: zip
Telephone: Telephone
FAX: FAX
E-mail: Email
Member/Candidate #: Mem_Number
CT Law Session: CT_Law_Session
Days Attending: Days_Attending
NY Metro Member: Metro_Member
State License:
NY-NY_LIC - NY_LIC_NUM            CT-CT_LIC - CT_LIC_NUM
NJ-NJ_LIC - NJ_LIC_NUM             MA-MA_LIC - MA_LIC_NUM
Are you a Professional Engineer: PE

If any of this information is incorrect, please go back to the registration form and change it. 

Please print this page for your records and include a copy when sending your check to:

NY Metro Seminar
25 Dahlia Drive
Mahopac, NY  10541

Sincerely,

The NY Metro Annual Seminar Committee


You may return to the registration form by using the Back button in your browser.
Revised: August 11, 2012 .

UPCOMING EVENTS

                               

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Copyright 2004 NY Metro Chapter
Last modified: January 30, 2015