Learn Linkedin® with Paula Cohen
February 11, 2010 Registration
YOU MUST PRERGISTER FOR THIS EVENT.
EMAIL (underfashionclub@frontiernet.net) or FAX (845-758-2546) this form to register. Make checks payable and mail to Underfashion Club, Inc., 326 Field Road, Clinton Corners, NY 12514. If you have any questions, email underfashionclub@frontiernet.net or call 845-758-6405.
RESERVATION FOR:
_____ Member(s) @ $15* = ___________________
_____ Nonmember(s) @ $50 = ___________________
*Special Offer for Members Only:
Sign up a nonmember and YOU attend for FREE __________________________
TOTAL AMOUNT DUE __________________________
Contact Name: _____________________________________________________
Firm: _____________________________________________________________
Street Address: _____________________________________________________
City:______________________________ State:________ Zip:______________
Telephone:____________________________ Fax:________________________
Email: ___________________________________________________________
TO PAY BY CREDIT CARD: Enter ALL of the information requested below
_____AMEX ______MasterCard ______VISA _______Discover
Cardholder’s Name:_________________________________________________ (Exactly as it appears on the card)
Account Number:__________________________________________________
Expiration Date__________________ **Security Code_______________
Billing Address:___________________________________________________
City:________________________________ State:_____ Zip:_____________
** For MasterCard, VISA and Discover, the security code (usually 3 digits) is located on the back of the card in the signature panel after the last 4 digits of the card number. For AMEX, the 4-digit security code is located on the front of the card, right above the account number.
We hope to see you there!!
