INTERNATIONAL CREDIT EXECUTIVES GROUP
Wisconsin Credit Association
Online Registration Form

Meeting Date: TUESDAY, JULY 15, 2008

Topic: "EXPORT COMPLIANCE IS HOT! HOT! HOT!!!"
Location: LaSure's Hall, Oshkosh WI

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Please fill out this form to register for the upcoming ICE Meeting. If you require a copy, print the form before clicking the Submit button. If you prefer, you can mail the form to: WCA, PO Box 510157, New Berlin WI 53151-0157 or fax to 262-827-2899. Also, please do not hit Enter or Click SUBMIT until the form is filled out completely. Include an email address for main attendee.

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. Subsitutions are permitted with prior notice to WCA.

Company:

Is your company an ICE member:
Yes (ICE Group Member fee is $45 per person)
No (Full Day fee is $75 per person)

If not a member, would you like to receive group information? Yes No

Address:     City:    State: AL AK AR AZ CA CO CT DE DC FL GA HI IA ID IL IN KS KY LA MA ME MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY    Zip:
Phone:     
Email:      

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Meeting Fee:
$45 per person for all member company representatives
$75 per person non-members
Optional Round of Golf, 9 Holes & Cart $32.

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Attendee Name: Check all that apply: CCP CPC CBA CBF CCE CICP CICE
GOLF & Cart $32
Group Dinner on 7/14
Attendee Name: Check all that apply: CCP CPC CBA CBF CCE CICP CICE
GOLF & Cart $32
Group Dinner on 7/14
Attendee Name: Check all that apply: CCP CPC CBA CBF CCE CICP CICE
GOLF & Cart $32
Group Dinner on 7/14
Attendee Name: Check all that apply: CCP CPC CBA CBF CCE CICP CICE
GOLF & Cart $32
Group Dinner on 7/14

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Payment Method: Invoice my company Check Enclosed (or in the mail) Credit Card (call 262/827-2880 or fill out information below)

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Credit Card Payments Only
Please note that this is not a secure site. You may submit information via this form, however WCA assumes no liability. You may also call the WCA office at 262-827-2880 or fill out the form, print it, and fax to 262-827-2899.

Type of card: VISA MASTERCARD DISCOVER AMERICAN EXPRESS
Name on card: Billing Address: City State: AL AK AR AZ CA CO CT DE DC FL GA HI IA ID IL IN KS KY LA MA ME MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Billing Zip:
Card Number: Expiration Date:

Checking here indicates that you authorize WCA to process your credit card for payment of this event:

Comments: (include additional attendees here if you need more room)


MEETING REFRESHMENT BREAK SPONSORSHIPS NOW AVAILABLE
That's right, for a $250 sponsorship, you'll be acknowledged at the meeting during announcements, signage at the tables and in the ICE Meeting Announcement! If your company is looking for visibility and want to market to a good cause-ICE is the place to be! An in-kind donation to the ICE Group Scholarship Fund will be made for the value of your sponsorship. Would you like to sponsor the next available ICE Meeting Refreshment Break? Dianna will be in contact with you. Please check Yes or No.
Yes

No

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