New York Round Table Registration Form

FCIB NY International Round Table Registration Form September 26, 2007

Registration Fees: $95 (FCIB Members) $125 (Non-FCIB Members)

Registration Information:
* First Name (for first line of badge):
* Full name (include any professional designation):
* Title:
* Company/Firm:
* Address:
* City:	* State/Province:	* Zip/Postal Code:
Phone:
Fax:
* E-Mail Address:
( indicates a required field)*

Agenda Questions Please submit your topics/questions to be addressed at the Round Table. Also, include a list of countries (up to 5) you would like to have reviewed during this Round Table.

Cancellation and Refund Policy Registration fees, less a $25 processing fee will be refunded for written cancellations received 5 days before the program start date. Substitutions are permitted.