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Mail To:

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

Which event are you attending?

[  ] In-perons:  Fall Revenue Training Institute 0827021  October 7-9, 2020 Registration fee $225
[  ] Live – stream:  Fall Revenue Training Institute 0800521:  October 7-9, 2020 Registration fee $225
[  ] Webinar:  Fall Revenue Training Institute 0800621:  October 7-9, 2020 Registration fee $225

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:____________________________