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Mail To:
Registration Services
The University of Alabama
Box 870398
Tuscaloosa, AL 35487
Which event are you attending?
[ ] In-person: Revenue Officers Annual Summer Conference CS-2108-AMROC1-01: August 11-13, 2021, Island House, Orange Beach, AL, Registration fee $230
[ ] Live-stream: Revenue Officers Annual Summer Conference CS-2108-AMROC2-01: August 11-13, 2021 Registration fee $230
[ ] In-person: Fall Revenue Training Institute 0898922: October 6-10, 2021, Bryant Conference Center, Early Bird Registration fee- ends September 22, 2021, $235
[ ] In-person: Fall Revenue Training Institute 0898922: October 6-10, 2021, Bryant Conference Center, Registration Fee $245
[ ] Live-Stream: Fall Revenue Training Institute CS-2108-RO1SI01-01: October 6-10, 2021, Bryant Conference Center, Early Bird Registration fee- ends September 22, 2021, $235
[ ] Live-Stream: Fall Revenue Training Institute CS-2108-RO1SI01-01: October 6-10, 2021, Bryant Conference Center, Registration fee $245
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:____________________________