Registration PO Box

TO REGISTER VIA POSTAL MAIL:
PRINT AND MAIL THIS PAGE AT LEAST 7 DAYS PRIOR TO THE EVENT

# REGISTRANTS/TOTAL CONTRIBUTION
Please send a contribution of any amount of your
choice for each person who will attend. Th e more
you contribute, the better the speakers we can bring
to you.
Postmark your Advance Registration Form at least
seven days before the event. Enclose a check or
money order payable to AAII.

Total Registrants #______

Total Contribution $______

Please indicate any ADA disability needs

REGISTRANT INFORMATION (PLEASE PRINT)

Member Name ____________________________________

E-Mail ___________________________________________

Phone: Day (_______) ______________________________

Evening (_______) ___________________________

Guest Name(s) _____________________________________

The chapter will use this contact data to notify you of meeting cancellation
or other important meeting information. Your info will not be
shared with any other company or service. 
Mail completed advance
registration form with your
check (payable to AAII) to:
AAII Puget Sound Chapter
P.O. Box 1586
Mercer Island, WA 98040
No confirmation will be sent;your canceled check is your receipt.
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