Conference Registration Form - Nebraska Society of Certified Public Accountants

Nebraska State Capitol Building - Lincoln, NE

Nebraska Society of Certified Public Accountants - Serving Nebraska And Its CPAs Since 1928

Nebraska Society of CPAs
635 South 14th Street
Suite 330
Lincoln, Nebraska 68508

Phone: (402) 476-8482
(800) 642-6178

Fax: (402) 476-8731
Email: society@nescpa.org

Conference Registration Form

2011 FALL Conference

Select Conference:

Hotel Accommodations:
A block of sleeping rooms at a reduce rate of $129 have been reserved for the conference on a first-come, first-serve basis. The rooms will be released by October 4, 2011. When calling the Embassy Suites, you need to mention you are there for the conference. If you have questions or problems, please call Sheila at the Society office at 800.642.6178.

Name:

Firm:

Mailing Address:

Work Home

Address:

City:

State:

Zip:

Contact Person:

Contact Number:

Email:

Comments / Special Accommodations:

Are you a CPA?:

Yes No

Society Member?:

Yes No

Please remember that payment must be submitted
separately to the Society office and be received
within 5 days to confirm your registration.

	I am faxing the CC payment form today.
	Payment will be mailed.

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