Secretary of State's Twentieth Annual Election Law Seminar for Cities, Schools & Other Political Subdivisions: December 8-10, 2008
Visa, MasterCard and Discover ONLY are accepted!
Name on Card: County/Entity: Attendee Name(s) (1): (2): (3): Billing Address: City: Phone #: Fax #: State: Zip Code: Email: (4): (5): (6):
CREDIT CARD FORM
If this form is received after the November 24th deadline, you must pay the late registration fee of $220.00 per person. NO EXCEPTIONS!
Registration Fee(s) @ =
(1) Seminar book is included with each paid registration. If you wish to purchase additional books for any of the 2008 seminars, please indicate the quantity below. If you are NOT attending the seminar and wish to only purchase a book, please check this box.
County Clerk/EA seminar book(s) @ $35.00 each = Voter Registrar/EA seminar book(s) @ $35.00 each = City, School, Other seminar book(s) @ $35.00 each =
$0.00
$0.00 $0.00
TOTAL AMOUNT TO BE CHARGED ON CREDIT CARD: $0.00 Please Choose Your Method of Payment Credit Card Number
REMINDER: This form cannot be submitted online. You MUST mail, fax, or e-mail this form to the Office of the Secretary of State ATTN: Leticia Salazar P.O. B ox 12060 Austin, Texas 78711-2060 512.463.7552 - FAX lsalazar@sos.state.tx.us
We Do Not Accept American Express
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