TAX INSTITUTE REGISTRATION

REGISTRATION WILL CLOSE AT 10AM THURSDAY, NOV. 5TH

DUE TO UNIVERSITY FURLOUGH OFFICES
WILL BE CLOSED FRIDAY, NOV. 6TH

IMPORTANT NOTE

This registration form's intent is to send us an email with the all the information below.

If for any reason your current computer does not have an email client (such as Outlook or Eudora), or your organization would not allow you to send emails on our behalf, please register by phone (408-924-3460), fax (408-924-3463) or by email
(lori@tax-institute.com) using all the information requested below.

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
E-mail

How would you like your name to appear on your badge?
(For transferable badges, please type company name.)

Amount of the check: $

Indicate session preferences (Select 2):

Session A OR Session B

Session C OR Session D

Are you a TEI member? Yes No

Will you be the guest of a TEI member? Yes No

(If Yes) Name of TEI member:

Tax Identification Number: 94-6017638

Questions? Contact (408) 924-3460