NY Metro ASHI

The Founding Chapter

                                                                         

 

 

Seminar Registration Confirmation


Dear First_Name MI Last_Name,

You have successfully registered for the 2015 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
Days Attending: Days_Attending
ASHI Member: ASHI_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. 

PAY NOW with PayPal/Credit Card 

Select the correct option for the Seminar and "Add to Cart".  A new PayPal window will open.  If you need to add the CT Law, hit the "Continue Shopping" button in the PayPal window and and the CT Law to the cart.  When the PayPal opens again, you can complete your transaction with PayPal or a Credit Card.

NY Metro Seminar

NY Metro Seminar

CT Law Class

 

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
 
AFTER 9/5, PLEASE DO NOT MAIL YOUR PAYMENT - PLEASE BRING IT TO THE SEMINAR!!!!

Sincerely,

The NY Metro Annual Seminar Committee


You may return to the registration form by using the Back button in your browser.
Revised: June 30, 2015 .

UPCOMING EVENTS

                               

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Copyright 2004 NY Metro Chapter
Last modified: July 12, 2015