The Founding Chapter




Seminar Registration Confirmation

Dear First_Name,

You have successfully registered for the 2008 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
E-mail: Email
Member/Candidate #: Mem_Number
CT License #: CT_LIC_NUM
State License  
NY-NY_LIC            CT-CT_LIC
NJ-NJ_LIC             MA-MA_LIC

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: (AFTER 9/4 - Bring this form and your check to the seminar - DO NOT MAIL AFTER 9/4)

NY Metro Seminar
25 Dahlia Drive
Mahopac, NY  10541


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 .



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