TO REGISTER FOR THE 7/19/11 MEETING, DO NOT FILL OUT THIS FORM, BUT RATHER, PLEASE CLICK HERE AND YOU WILL BE TAKEN TO THE CORRECT REGISTRATION FORM. We're sorry for the incoinvenience, an incorrect link was provided along with a recent Zoomerang Survey.
INTERNATIONAL CREDIT EXECUTIVES GROUP OF WI
 Wisconsin Credit Association
ICE Group Online Registration
DATE: XX
"XX"
LOCATION: XX

Please fill out this form to register for the upcoming ICE Group Meeting. If you require a copy, print the form before clicking the SUBMIT button. Please be sure to complete this registration form completely before clicking SUBMIT. Include an email address for the main attendee.

Meeting Fees & Registration Details
$XX Per Person all representatives from ICE Group Member Company
$XX All others

Fees include full-day meeting, handouts, refreshments and lunch. Sorry, no credit or refund for no shows or cancellations within seven (7) days prior to the meeting. Substitutions are permitted with prior notice to WCA. Please contact Dianna at the Association, 262.827.2880 X225 with any questions. Thank You!

Is Your Company An ICE Group Member ?
Yes
No

* Required Fields


* Company:
* Street Address:
* City:
* State:
* Zip Code:
* Telephone Number: ( )
* Fax Number: ( )
* E-Mail Address:

Attendee
Include Designation(s) CICP, CICE, CPC, CCP, CCE, CBF Etc
* Attendee Name

Complete another registration form for additional attendees or include their name and designation in the Comment's Box below.

You will receive driving instructions to the meeting facility along with your confirmation. Call Dianna at 262.827.2880 X225 with any questions.

Method of Payment
Invoice My Company (WCA & ICE Members Only. All others are asked to prepay)
Check Enclosed (Or In The Mail)
Credit Card
Please note that this is not a secure site. You may submit your credit card information via this form, however WCA assumes no liability. You may also call the WCA office at 262.827.2880 to provide your confidential credit card information or fill out this form, print it, and fax to 262.827.2899.

Type of card:
Name on card:
Billing Address:
City State & Zip:
Card Number:
Expiration Date:

Comments / Special Information / Additional Attendee Names