Registration

FINANCE - SEPT. 4-5, 2008 DANA PT., CA - ENROLLMENT FORM
PHONE: 800-457-0237 or 760-643-1760 FAX: 760-643-1761
PO Box 2317 • Vista. CA 92085

Please fill in the information below, submit it, and someone will contact you regarding your registration.

Salutation:

Name:

Title:

Company:

Mailing Address:

City:

State:

Zip:

Phone:

( )

Fax:

( )

E-mail:

* Required field

Website:

(A)	$560	Special District Finance - Two-Day Seminar
(B)	$760	Seminar + Information Technology Workshop (All three days)
(C)	$760	Seminar + Infrastructure Workshop (All three days)
(D)	$225	Information Technology Workshop (Saturday Only)
(E)	$225	Infrastructure Workshop (Saturday Only)
(F)	$65	Order Handbook Only - Information Technology Workshop
(G)	$65	Order Handbook Only - Infrastructure Workshop
(H)	$100	Order Handbook Only - Finance Seminar (Handbooks will be shipped the week after the event)

		PLEASE ADD YOUR COUNTY SALES TAX AND SHIPPING TO HANDBOOK ORDERS
(I)	$ 55	Spouse/Guest Meal Package for Workshop
(J)	$110	Spouse/Guest Meal Package for Seminar Guest Name:

10% Discount for the attendance of 4 or more from the same District (For Options A, B and C only. ) Not good with any other discounts!
$25.00 Early registration discount for Options A, B and C Only (must receive payment by 8/5/08) - NOT VALID ON WORKSHOPS ONLY

Sub Total of Registration	$
Subtract 10% Discount for 4 or more	$	(if applicable)
Subtract $25.00 Early Registration (NOT VALID FOR WORKSHOP ONLY)	$	(if applicable)
Certification Fee ($35.00)	$	(if applicable)
Total Registration Fee	$

Special Needs:
Wheelchair Access
Visually Impaired
Hearing Impaired
Vegetarian Meals
Other

METHOD OF PAYMENT: Payable to Special District Institute

Check Credit Card Invoice - PO#:

If you are planning on paying by credit card, please fax your credit card information to 760-643-1761 or e-mail it to trishansell@aol.com.

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