EDGAR and More Registration Form

Return this form via one of the following methods:

-by email to ncil@ncil.org; eleanor@ncil.org. Do not use email to send credit card information, use the online store to register instead ( https://secure.xo.com/ncil.org/store/catalog.php?p_category=1 )
-by fax to: (202) 207– 0341
-by mail to: NCIL / 1710 Rhode Island, Northwest / Fifth Floor / Washington, D.C. 20036.  

Yes!  Please register me for CIL-NET’s new training, “EDGAR and More” October 27 and 29, 2009.    

Cost: $75.00

Will you attend via teleconference or webcast? Please tell us which:

Approximate # of attendees at your location:

Registrant Information

Name:	 
Title: 
Organization:
Mailing Address:
City:
State:	 
Zip Code:
Phone Number: 
TTY:
Fax:
E-mail:

Please tell us how you will be paying by Visa, MasterCard, Discover, American Express, Check, or Money Order:

Credit Card #:
Expiration Date:	

Amount: 

Authorizing Signature: