2013 TSCPA Professional Development Guide : Page 39

3URIHVVLRQDO&#03;'HYHORSPHQW&#03;5HJLVWUDWLRQ&#03;)RUP 2QOLQH&#03;UHJLVWUDWLRQ&#03;LV&#03;HDV\&#04; Register for all your classes online by visiting www.tscpa.com/catalog . Locate your class by course code, add the class to your cart and the system will walk you step-by-step through the check-out process. 7R&#03;WDNH&#03;DGYDQWDJH&#03;RI&#03;WKH&#03;(DUO\&#03;%LUG&#03; 'LVFRXQW&#0f;&#03;UHJLVWHU&#03;DW&#03;OHDVW&#03;WZR&#03;ZHHNV&#03;SULRU&#03;WR&#03;WKH&#03;SURJUDP&#03;GDWH&#11; 1 First Personal Information ‰ Check here for a change of address MI Last 2 Payment Information __________________________________________________ ___________________________________________________________________ TSCPA Member Number ___________________________________________________________________ Firm/Employer ___________________________________________________________________ Preferred Address ‰ Home ‰ Business ___________________________________________________________________ City State Zip ___________________________________________________________________ Business Phone Home Phone Mobile Phone ___________________________________________________________________ Email Address ‰ &#03; Check (Make payable to 7KH&#03;(GXFDWLRQDO&#03; &#03;0HPRULDO&#03;)RXQGDWLRQ&#03;RI&#03;WKH&#03;76&3$ ) Credit Card: ‰ &#03; Visa ‰ &#03; Mastercard ‰ &#03; Discover ‰ &#03; American Express ____________________________________________________________________ Account Number Exp. Date ____________________________________________________________________ Security code (required to complete transaction) ____________________________________________________________________ Signature ____________________________________________________________________ Name as it appears on card ‡&#03; For Continuing Legal Education Credit, please list your Board of Professional ___________________________________________________ Responsibility (BPR) # 4 0HPEHUVKLS&#03;,QIRUPDWLRQ ‰ Yes ‰ Yes ‰ Yes ‰ No ‰ No ‰ No ‰ -2,1&#03;12:&#04; AICPA # _______ 3 ‰ eMaterials &#07;&#15;&#18;&#03;3ULQWHG&#03;6HPLQDU&#03;0DQXDO (eMaterials will be provided electronically to DOO&#03;UHJLVWUDQWV&#03;IUHH&#03;RI&#03;FKDUJH&#11;&#03;&RQIHUHQFH&#03;SULQWHG&#03;PDQXDO&#03;IHHV&#03;ZLOO&#03;YDU\&#11;&#03;6HH&#03;VSHFL¿F&#03; conference for pricing.) and procedures. Please visit www.tscpa.com/eMaterialsPolicy ) $UH&#03;\RX&#03;D&#03;76&3$&#03;0HPEHU" $UH&#03;\RX&#03;DQ&#03;$,&3$&#03;0HPEHU" $UH&#03;\RX&#03;D&#03;&3$" ‰&#03; $0 eMaterials Only (By checking this box, I agree to the eMaterials policies 1RWH&#1d; eMaterials are only available for programs with the &#1d; symbol. If registering seven (7) days or less prior to the program date, only eMaterials will be available. Printed manuals will NOT be available for purchase at an event. Once program materials have been uploaded to TSCPA’s website, TSCPA will not be able to offer a refund regardless of the reason for cancellation (a requirement of education vendors). +RZ&#03;GLG&#03;\RX&#03;KHDU&#03;DERXW&#03;WKH&#03;SURJUDPV&#03;\RX&#03;DUH&#03;UHJLVWHULQJ&#03;IRU" (Please check one.) ‰ ‰ ‰ Professional Development Guide 7HQQHVVHH&#03;&3$&#03;-RXUQDO Promotional Brochure ‰ ‰ ‰ TSCPA Website Email Other: ________________ &#18; &RXUVH&#03;6HOHFWLRQ Course Information Course Title Course Code Course Date 76&3$&#03;0HPEHU&#03;)HHV Early Bird Fee 5HJXODU&#03; Fee Fee Adjustments &#0f; Printed Manual Fee AICPA 'LVFRXQW U 1RQ&#10; PHPEHU&#03; Fee Z CLE Fee 6XEWRWDO Total $ Credit card charges must include all information requested and be signed. Credit card registrations are subject to all TSCPA registration and cancellation policies. To review registration and cancellation policies, please visit www.tscpa.com/content/education/policies.aspx. &#0f; 3ULQWHG&#03;0DQXDO&#03;)HH&#1d;&#03; $GG&#03;&#07;&#15;&#18;&#03;IRU&#03;D&#03;SULQWHG&#03;PDQXDO&#03;IRU&#03;D&#03;FRXUVH&#11;&#03;&RQIHUHQFH&#03;SULQWHG&#03;PDQXDO&#03;IHHV&#03;ZLOO&#03;YDU\&#11;&#03; $,&3$&#03;'LVFRXQW&#1d;&#03; AICPA members qualify for a $30 discount per 8-hr. day off the cost of eligible AICPA courses or webcasts. To receive the discount, you must indicate that you are currently an AICPA member and provide your AICPA member number at the time of registration. This discount is available until the date of the course or webcast and cannot be applied retroactively. U Z 1RQ&#10;PHPEHU&#03;)HH&#1d; &#03;$GG&#03;&#07;&#14;&#13;&#13;&#03;IRU&#03;FRQIHUHQFHV&#03;DQG&#03;&#1b;&#10;KU&#03;VHPLQDUV&#03;RU&#03;&#07;&#18;&#13;&#03;IRU&#03;&#17;&#10;KU&#03;VHPLQDUV&#03;LI&#03;\RX&#03;DUH&#03;QRW&#03;D&#03;76&3$&#03;0HPEHU&#11; &/(&#03;)HH&#1d; $6 per 4 hour course; $12 per 8-hr course; $24 per 16-hr course; $36 per 24-hr course. You must notify TSCPA in advance and provide your BPR number at the time of registration. For Staff Use Only 6SHFL¿F&#03;1HHGV&#1d; If you have special and/or dietary needs under the Americans with Disabilities Act, please send an email description WR&#03;WVFSD#WVFSD&#11;FRP&#03;RU&#03;FDOO&#03;&#19;&#14;&#18;&#12;&#16;&#1a;&#1a;&#10;&#16;&#1b;&#15;&#18;&#11; ,I&#03;\RX&#03;KDYH&#03;QRW&#03;UHFHLYHG&#03;DQ&#03;HPDLO&#03;FRQ¿UPDWLRQ&#03;ZLWKLQ&#03;WZR&#03;EXVLQHVV&#03;GD\V&#03;SULRU&#03;WR&#03;WKH&#03;FRXUVH&#03;GDWH&#0f;&#03;SOHDVH&#03;FRQWDFW&#03;WKH&#03; VRFLHW\&#03;RI¿FH&#03;DW&#03;&#19;&#14;&#18;&#12;&#16;&#1a;&#1a;&#10;&#16;&#1b;&#15;&#18;&#11;&#03;<RX&#03;PD\&#03;ID[&#03;\RXU&#03;FRPSOHWHG&#03;UHJLVWUDWLRQ&#03;IRUP&#03;WR&#03;&#19;&#14;&#18;&#12;&#16;&#1a;&#1a;&#10;&#16;&#1c;&#13;&#17;&#11; Initials: Date:

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