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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:____________________________