Consultative Brokerage Summit ™
Regional Presentation Series

Summit On-Line Registration Page

Complete the information below to submit your registration on-line, or print this page and mail in your registration form using the address below.

Yes, please register me for the following Spring 2001 Consultative Brokerage Summit (check one)

Minneapolis – May 15, 2001  

Los Angeles – May 22, 2001

Houston – June 5, 2001

Summit Registration Fee: $195.00
Fee includes materials, beverages and a lunch buffet.

Name

Organization

Address

City

State Zip

eMail

Phone

Fax

Payment Options (select one)

I will be mailing my check (mailing address below)
I would like to pay by credit card - Please call me for my credit card information.
I would like to pay by credit card and I am sending the number via this form.
American Express
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Credit Card #
Expiration Date
Name that appears on Card

Note:  This is not a secured site.  If you would like to pay by credit card via this form, please use at your own discretion.

(Important - When you click on the "Submit" button below, we will begin processing your registration.  This may take a few minutes.  Please do not press the "Submit" button more that once.  When your registration has been processed successfully, you will be transferred to our Confirmation page.  Thank you)


If you wish to register by mail or fax: 
Spring 2001 Consultative Brokerage Summit
3646 East Ray Road, Suite #B-16-89
Phoenix, AZ 85044
Fax:  (602) 230-1674 

Notes:

  • Continuing Education Credits are being requested for all three Summits.  The number of C.E. credits for each Summit will depend on each state's regulations governing C.E. qualifying topics.
  • The Spring 2001 Consultative Brokerage Summits will not have a room block at any of the event locations.  Please call the hotel for rates and availability if you need a room in connection with the summit.  Mention you are attending the summit, as a room rate discount may apply.
  • $195.00 registration fee with completed registration form is required prior to the Summit. The registration fee less $25 is refundable if written cancellation is received at least 10 days before the event.


Regional Summit Main Menu Page


Thank you.
C.R. Ekern & Company

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