Registration

Conference Registration

Name *

First

Last

Title *

Company/Organization *

Address *

City, State, Zip *

Office Phone *

Fax *

Email *

.
Registration fee includes lunch.

In the blanks below, enter the number of attendees under each applicable category. Then add the total in the bottom.
.

ATI MEMBER - Regular Registration and Luncheon $90.00 *

ATI MEMBER - Legislators, Elected Officials, Media $55.00 *

ATI MEMBER - Gov't (Non-elected) Registration $85.00 *

ATI MEMBER - Luncheon Only, Individual $40.00 *

ATI MEMBER - Luncheon Rsrv., Table of Ten $500.00 *

NON-MEMBER - Regular Registration and Luncheon $100.00 *

NON-MEMBER - Legislators, Elected Officials, Media $60.00 *

NON-MEMBER - Gov't (Non-elected) Registration $90.00 *

NON-MEMBER - Luncheon Only, Individual $50.00 *

NON-MEMBER - Luncheon Rsrv., Table of Ten $600.00 *

TOTAL *

Note: Late, Conference Day Registration is additional 20% fee.

Method of Payment:

CHECK: Please mail a check to the following address:

                 Associated Taxpayers of Idaho
                 PO Box 1665
                 Boise, ID 83701

DEBIT/CREDIT CARD: Please fax your credit card information to our offices (208-344-5582), or call us at 208-344-5581. (Visa/MC only)

If you have any questions, call (208) 344-5581.

Cancellations will NOT be accepted after November 23, 2011.

Conference Registration

Note: Late, Conference Day Registration is additional 20% fee.Method of Payment:

Note: Late, Conference Day Registration is additional 20% fee.

Method of Payment: