Please check one option:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Do not mail registrations after October 8th; istead
please fax your registration to (919) - 863 - 4101
You may register at the Tour.
Refund Policy: There will
be no refunds after October 8, 1999 To register more than 2
people please copy this form.
| Name 1: |
| Name 2: |
| Title: |
| Company: |
| Address: |
| Address: |
| City/State/Zip |
| Phone: |
| Fax: |
| Email: |
| Total Amount to be charged or on enclosed check: $ |
| MC/VISA # Exp. Date: |
| Signature: Date: |
Mail form with check to:
NCSEA, 2501 Blue Ridge Rd. , Suite 150
Raleigh , NC 27607
Fax with credit card information to (919) - 863-4101