Mini Seminar Registration Form by itm20607

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									             Mini Seminar Registration Form
                                                                                                                                               Check seminar and date, then fill in the fee from Fee Chart.
               Maryland Society of Accountants
          526 Baltimore Blvd., Westminster, MD 21157
   (410) 876-5998 •• (800) 922-9672 •• Fax: (410) 848-8452                                              May 11, 2007 - Linthicum (early cut-off - April 26)                                         December 18, 2007 - Ellicott City (early cut-off - Dec. 4)
             Register On-Line - www.msacct.org                                                            ‘ Express - Enrolled Agent/ACAT Ethics - see chart ........... $_________                   ‘ Express - Enrolled Agent/ACAT Ethics - see chart ........... $_________
                                                                                                          ‘ Express - Peer Review - see chart ................................... $_________          ‘ Express - Payroll Updates - see chart ............................... $_________

Attendee Name_______________________________________                                                      ‘ Mini - Maryland CPA Ethics - see chart ............................. $_________           ‘ Mini - Estate Planning for the Newly Divorced-chart ........ $_________
                                                                                                                                                                                                      ‘ Mini - Maryland CPA Ethics - see chart ............................. $_________
CPA License #_____________ CFP License #______________                                                  May 22, 2007 - Ocean City (early cut-off - May 8)
                                                                                                          ‘ Express - HSAs and HRAs - see chart .............................. $_________
Address__________________________________ Ste_______
                                                                                                          ‘ Mini - Delaware CPA Ethics (tentative) - see chart ........... $_________               Amount of Seminar Fees ............................................................. $_________
City______________________ State_____ Zip_____________
                                                                                                                                                                                                    Sign up, on this form, for 16 Hours CPE per attendee,
                                                                                                        June 20, 2007 - Ellicott City (early cut-off - June 6)
                                                                                                                                                                                                    all at one time and receive $20 discount. .................................. $_________
Phone_______________________________________________                                                      ‘ Express - HSAs and HRAs - see chart .............................. $_________
                                                                                                          ‘ Mini - Choosing a Business Entity - see chart .................. $_________             Sign up, on this form, for 30 Hours CPE per attendee,
E-Mail_________________________ @____________________                                                                                                                                               all at one time and receive $40.00 discount .............................. $_________
                                                                                                        September 11, 2007 - Columbia (early cut-off - Aug. 28)                                                                                                    Total ............ $_________
                                                                                                          ‘ Mini - Social Security and Medicare Issues-see chart ..... $_________
                                                 Registered by                Registered after                        Insurance Fee - $8.00 (add to registraton fee)
        Fee Chart
                                               early cut-off date early cut-off date
  Express ............................................... $40.00 ...................... $55.00          September 24, 2007 - Timonium (early cut-off - Sept. 10)
                                                                                                          ‘ Express - 1031 Exchange - see chart ............................... $_________
  Mini ......................................................... 80.00 ........................ 95.00
                                                                                                          ‘ Express - Obtaining Small Business Financing - chart .... $_________
                                                                                                                                                                                                                                         Seminar Locations
                                                                                                          ‘ Mini - IRS Collections - see chart ....................................... $_________            Columbia ......................... Holiday Inn Columbia
                    Make checks payable to “M.S.A. Seminars”                                              ‘ Mini - Maryland CPA Ethics - see chart ............................. $_________                  Ellicott City ...................... Turf Valley Resort
                                                                                                                                                                                                             Frederick ......................... Holiday Inn FSK
                                                                                                        October 9, 2007 - LaPlata (early cut-off - Sept. 25)                                                 Linthicum ......................... Maritime Institute
                                                                                                          ‘ Mini - Maryland CPA Ethics - see chart ............................. $_________                  LaPlata ............................. College of Southern Maryland
                                                                                                                                                                                                             Ocean City ...................... Roland Powell Convention Center
                                                                                                        November 1, 2007 - Tysons Corner (early cut-off - Oct. 18)                                           Timonium ........................ Holiday Inn Select
                          Credit Card Information                                                         ‘ Express - Virginia CPA Ethics AM - see chart .................. $_________                       Tysons Corner ............... Westpark Hotel
              (Visa, Master Card, Discover or American Express)
                                                                                                          ‘ Express - Virginia CPA Ethics PM - see chart .................. $_________

Account #_____________________________________________________                                          November 7, 2007 - Frederick (early cut-off - Oct. 24)
                                                                                                          ‘ Express - Professional Liability - see chart ....................... $_________
    Expiration Date______________________
                                                                                                          ‘ Mini - Maryland CPA Ethics - see chart ............................. $_________
                                                                                                          ‘ Mini - Employment Law - HR Issues - see chart ............. $_________
Cardholder’s Name_____________________________________________

Signature_____________________________________________________                                          December 5, 2007 - Ocean City (early cut-off - Nov. 21)
                                                                                                          ‘ Express - Enrolled Agent/ACAT Ethics - see chart ........... $_________
Refund Policy: No refunds can be given.
                                                                                                          ‘ Express - Peer Review - see chart ................................... $_________
Complaint Policy: For more information regarding administrative policies                                  ‘ Mini - Maryland CPA Ethics - see chart ............................. $_________
such as complaint and refunds, please contact the M.S.A. Office at (800)
922-9672.

								
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