Registration

 
 
 

Registration

 

OR-IASIU Spring Insurance Fraud Seminar Registration

Liberty Centre Auditorium

650 NE Holladay St

Portland, Oregon

March 2, 2010;  8:00 a.m. – Noon

Please complete this form and click “Submit” to register online.  Online payments are available with PayPal, or print completed registration form and mail with your check to:

Oregon Chapter – IAISU

ATTN:  Seminar Registration

PO Box 1071

Lake Oswego, OR  97034

Name: 

 

Organization:

Address: 

City:                                                         State:            ZIP

   

Phone:                           E-mail:  

 

 

Oregon IASIU Member or PSSI Member

(Local and International (if applicable) memberships must be current as of March 1, 2010)           

FREE

Non-Member

Make checks payable to:  Oregon Chapter IASIU.  Tax ID Number:  93-1173312

$30.00

 

Advanced registration is appreciated by February 26, 2010.

Please complete this form and click “Submit” to register.