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| Registrant: |
| ISACA Member Number:
or, __Non-Member |
| Organization: |
| Address: |
| City:
State:
ZIP: |
| Phone:
Fax: |
| E-Mail Address: |
| Event Date: |
| Event Name: |
| Member Cost . . . . . $
Payment method: __Check, or Subscription_________ |
| Non-Member Cost . $
Checks Only Please! We do not currently accept
Credit Cards |
If the event includes a meal, please
note any special dietary requirements: |
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This form can be used to reserve
your attendance at any 2007-2008 Chapter Year event.
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Member pricing is for the sole
benefit of current ISACA members in good standing.
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If
a non-member registers with member pricing, they must pay
the difference between member and non-member pricing prior
to attending the event.
Please make your
check payable to:
(Your cancelled check will be your receipt)
ISACA New York Metropolitan Chapter, Inc.
Mail
this form and your check to:
ISACA NY Metro
G.P.O. Box 1279
New York, NY 10116-1279
ATTN:
Seminar and Workshop Registration
For questions, please contact:
Felix Ramirez at Felix.Ramirez@isacany.org
or
Pat Grant at 212-635-7473
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