Mail To:

Registration Services
The University of Alabama
Box 870398
Tuscaloosa, AL 35487

Which event are you attending?

[  ] In-person:  Fall Revenue Training Institute CS-2210-ROSI01-01 :  October 5-7, 2022, Bryant Conference Center, Early Bird Registration fee$235 (ends September 22, 2022)
[  ] Live-Stream:  Fall Revenue Training Institute CS-2210-ROSI01-02:  October 5-7, 2022, Live via Zoom, Early Bird Registration fee$235 (ends September 22, 2022)

[  ] In-person:  Fall Revenue Training Institute CS-2210-ROSI01-01 :  October 5-7, 2022, Bryant Conference Center, Registration Fee $265
[  ] Live-Stream:  Fall Revenue Training Institute CS-2210-ROSI01-02:  October 5-7, 2022, Live via Zoom, Registration fee $265

Which credential do you need?

[  ] Seeking CMRO – Certified Municipal Revenue Officer Certification
[  ] Seeking 10 hours CMRO Maintenance
[  ] Seeking 20 hours CMRO Maintenance
[  ] Seeking 20 hours CRE Maintenance

[ ]Mr. [ ]Ms. [ ]Dr. First:____________________________Middle Initial:________Last:____________________________

Preferred Name/Nickname:____________________________

Company/Organization Name:____________________________

Mailing Address:____________________________City:____________________________State:________Zip:______________

Email Address:____________________________Phone:____________________________

Job Title:____________________________

[ ] Enclosed is a check for $____________________________ made payable to THE UNIVERSITY OF ALABAMA

[ ] Purchase order is attached.

[ ] Charge $____________________________to credit card: [ ] MasterCard [ ] VISA [ ] American Express [ ] Discover

Card #____________________________Exp. Date (M/Y)____________________________

Security / Verification / CVV Code____________________________(Three or four digit code on back or front of credit card.)

Authorizing Signature:____________________________