Full Seminar Registration Form

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					                      Full Seminar Registration Form                                                                                     Check seminar and date,
                         Maryland Society of Accountants                                                                             then fill in the fee from Fee Chart
                    526 Baltimore Blvd., Westminster, MD 21157
             (410) 876-5998 •• (800) 922-9672 •• Fax: (410) 848-8452
                                                                                                                     Gear Up Accounting Seminars - see fee chart
                     Register On-Line - www.msacct.org                                                                Frederick .................. ‘ May 13-14 (early April 29) ............................ $_________
                                                                                                                      Ocean City ............... ‘ May 20-21 (early May 6) ............................. $_________
                                                                                                                      Frederick .................. ‘ September 22 (early Sept. 8) ....................... $_________
Attendee Name_________________________________________________
                                                                                                                     Gear Up Helping Clients Through Difficult Times - see fee chart
CPA License #__________________ CFP License #__________________
                                                                                                                      Ocean City ............... ‘ May 22 (early May 6) ................................... $_________
Company_____________________________________________________                                                          Frederick .................. ‘ September 23 (early Sept. 8) ....................... $_________

Address__________________________________________ Ste________                                                        Gear Up Mid-Year Tax Update for Individuals - see fee chart
                                                                                                                      Ellicott City ............... ‘ June 4 (early May 21) .................................. $_________
City______________________________ State______ Zip_____________                                                       Ocean City ............... ‘ June 29 (early June 15) ................................ $_________
Phone________________________________________________________                                                        Gear Up IRS Audits, Appeals and Collections - see fee chart
                                                                                                                      Timonium ................. ‘ June 18 (early June 4) .................................. $_________
E-Mail_____________________________ @_________________________
                                                                                                                     Gear Up Auditing Nonprofit Organizations - see fee chart
                                                                                                                      Gaithersburg ............. ‘ June 22-23 (early June 9) ............................ $_________
                                                                                                                     Gear Up Estates and Trusts Seminar - see fee chart
                      Fee Chart                           Registered by               Registered after                Baltimore .................. ‘ September 2-3 (early Aug. 19) ..................... $_________
                                                        early cut-off date           early cut-off date
                                                                                                                     Gear Up Corporation & Partnership - see fee chart
       Member One Day ........................................ $175.00 .................... $190.00
                                                                                                                      Frederick .................. ‘ September 16 (early Sept. 2) ....................... $_________
       Non-Member One Day .................................. 250.00 ...................... 265.00                     Baltimore .................. ‘ September 25 (early Sept. 11) ...................... $_________
                                                                                                                      Greenbelt .................. ‘ Sept. 30-Oct. 1 (early Sept. 16) ................... $_________
       Member TwoDay ........................................... 320.00 ...................... 335.00
                                                                                                                      Ocean City ............... ‘ October 22-23 (early Oct. 8) ......................... $_________
       Non-Member Two Day ................................. 395.00 ...................... 410.00
                                                                                                                     Gear Up Planning for Later Years in Life - see fee chart
                    Note: One Day Pricing not available for 1040 seminars                                             Gaithersburg ............. ‘ November 9 (early Oct. 26) ......................... $_________
                                                                                                                     Gear Up 1041 Seminar - see fee chart
                                                                                                                      Gaithersburg ............. ‘ November 10 (early Oct. 26) ....................... $_________
                                         Seminar Locations
                     Annapolis .................. Sheraton Annapolis Hotel                                           Gear Up Individual 1040 Tax Seminars - see fee chart
                      Baltimore .................. Martins’ West                                                      Hagerstown .............. ‘ November 16-17 (early Nov. 2) .................. $_________
                   Ellicott City .................. Turf Valley Resort                                                Gaithersburg ............. ‘ November 23-24 (early Nov. 9) .................. $_________
                     Frederick .................. Holiday Inn FSK                                                     Gaithersburg ............. ‘ December 1-2 (early Nov. 17) ..................... $_________
                  Gaithersburg .................. Holiday Inn                                                         Ocean City ............... ‘ December 3-4 (early Nov. 17) ..................... $_________
                     Greenbelt .................. Martin’s Crosswinds                                                 Frederick .................. ‘ December 7-8 (early Nov. 23) ..................... $_________
                   Hagerstown .................. Conference Center (formerly Sheraton)                                Greenbelt .................. ‘ December 7-8 (early Nov. 23) ..................... $_________
                   Hunt Valley .................. Valley Mansion, Hunt Valley                                         Baltimore .................. ‘ December 15-16 (early Dec. 1) .................... $_________
                   Ocean City .................. Clarion Hotel (May)                                                  Gaithersburg ............. ‘ December 15-16 (early Dec. 1) .................... $_________
                   Ocean City .................. Carousel Hotel (June)                                                Hunt Valley ............... ‘ January 4-5 (early Dec. 21) ......................... $_________
                   Ocean City .................. Roland Powell Convention Center                                      Frederick .................. ‘ January 5-6 (early Dec. 21) ......................... $_________
                     Timonium .................. Crown Plaza (formerly Holiday Inn)                                   Upper Marlboro ........ ‘ January 6-7 (early Dec. 21) ......................... $_________
                Upper Marlboro .................. Camelot, Upper Marlboro
                                                                                                                     Gear Up Federal Tax Update - see fee chart
                                                                                                                      Annapolis .................. ‘ January 19 (early January 5) ...................... $_________


                                                                                                                     Amount of Seminar Fees ........................................................................... $_________
                           Make checks payable to “M.S.A. Seminars”
                                                                                                                     Sign up, on this form, for 3 or more Full Seminars per attendee
                                   Credit Card Information                                                           at one time and receive $10 per day discount. ....................................... $_________
                       (Visa, Master Card, Discover or American Express)
                                                                                                                     $10.00 discount per registrant for group reservations of 3-9
                                                                                                                     attendees per firm for the same seminar. To receive discount, all
Account #________________________________________________________________                                            registration forms and payment must be submitted at the same time ... $_________
               Expiration Date______________________ Security Code________                                           $15.00 discount per registrant for group reservations of 10-15
                                                                                                                     attendees per form for the same seminar. To receive discount, all
                                                                                                                     registration forms and payment must be submitted at the same time ... $_________
Cardholder’s Name________________________________________________________
                                                                                                                     Additional 15 registrations - receive one registration FREE
Signature________________________________________________________________
                                                                                                                                                                           Total ........................................ $_________
Refund Policy: No refunds can be given if written cancellation is received less than 14 days in advance of the
seminar. Any transfer to another seminar, returned check or cancellation of seminar by attendee is subject to a
$25.00 service charge.                                                                                                                         Maryland Society of Accountants is registered with the National
Complaint Policy: For more information regarding administrative policies such as complaints and refunds,                                       Association of State Boards of Accountancy (NASBA) as a
please contact the M.S.A. Office at (800) 922-9672.                                                                                            sponsor of continuing professional education on the National
Seminar Policy: Any individual who registers for a seminar will be responsible for the seminar fee even if the                                 Registry of CPE Sponsors. State boards of accountancy
individual does not attend.                                                                                           have final authority on the acceptance of individual courses for CPE credit. Complaints
Payment Policy: Payment is due at the time of registration. Any individual who submits a registration form without    regarding registered sponsors may be addressed to the National Registry of CPE
payment will not be registered for the seminar until payment is received. Registrations for those paying by check     Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. Web
will not be processed until the check is received in the Society Office.                                              site: www.nasba.org