Investor Education Train-the-Trainer Event
April 16
th
and 17
th
, 2008
Radisson Fort McDowell Resort & Casino
Fountain Hills, Arizona
*
Name of Participant
Organization
*
Title/Occupation
*
Complete Address
Address (Continued)
*
City
*
State
*
Zip
*
Phone
*
Email
*
Payment Method. Registration Fee:
$75 - Tribal Program Representatives, Non-Profint Tribal entities, or Individuals
$150 - All others
Credit Card (submit online or print and fax to 303-774-7841)
Check (print out registration form and mail with check)
Amount of Payment
Credit Card Information
Name on Card
Credit Card Type
Visa
MasterCard
American Express
Credit Card Number
Expiration Date (mm/yy)
Signature of Cardholder
(by signing, you are authorizing debit from the above credit card number)
Daytime phone number of cardholder
To pay by check:
Make
check payable to First Nations and mail with this printed registration form to
:
First Nations Development Institute
703 Third Avenue, Ste B, Longmont, CO 80501
Registration and Payment must be received by April 4, 2008.
*
Indicates Response Required
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