Download Brochure - Paramount Educational Seminars

Registration for January 8th, 2015 “2015 Labor and Employment Law Forum”
Ala Moana Hotel, 410 Atkinson Drive, Honolulu, Hawaii
* Register at www.paramountseminar.com (Enter Discount Code: MJW2015 at end of checkout process)
* Fax this registration form to: (402) 884-8644
* Mail this registration form to:
Paramount Educational Seminars
P.O. Box 0578
Boystown, NE 68010-0578
** If you have questions or prefer to register by phone, please call us toll-free at (800) 587-2921.*
Registration Cost per attendee:
Discount Code: MJW2015
Final Price Per Attendee =
$369.00
($100.00) (Enter Discount Code at end of Checkout Online)
$269.00
Name of Attendee(s) (Please Print)
(1) Name ______________________________________ Email ___________________________________
Title ___________________________________
(2) Name ______________________________________ Email ___________________________________
Title ___________________________________
(3) Name ______________________________________ Email ___________________________________
Title ___________________________________
(4) Name ______________________________________ Email ___________________________________
Title ___________________________________
Company ______________________________________ Phone (______) _______-___________
Address _______________________________________
City _______________________ State _____
Zip: ________
Email address for Payment Receipt ______________________________________________
Payment methods:
□ Check
(If mailing a check, please fax registration form prior to mailing)
□ Credit Card
□ Visa
□ MasterCard
□ American Express
□ Discover
Credit Card Number:
_ _ _ _-_ _ _ _-_ _ _ _-_ _ _ _
Cardholder Name Listed on Card: ____________________________________________________
Billing Address for Credit Card (if different than above): _______________________________________________
Expiration Date: _ _ / _ _ (MM/YY)
CID # _ _ _ _ (3 printed on back of card for Visa, MC, or Discover or 4 digit code on front of card for Amex)
I authorize Paramount Educational Seminars to charge my Credit Card listed above in the amount of
$___________ ($269 per person) as payment to attend a conference in Honolulu entitled “2015 Labor and
Employment Law Forum” on January 8, 2015.
_________________________________________________ (Cardholder Signature) ___________ (Date)
Cancellation Policy
If you cannot participate in the Paramount seminar, please contact Paramount’s customer service center as soon as possible.
Paramount will refund your payment in full if you cancel at least seven days prior to the seminar. If you fail to notify us prior
to the seven-day period, we will transfer your payment to a future seminar provided it is scheduled within the next twelve
months. Please note a $20.00 service fee will be deducted. Registrants, who do not cancel as outlined above, will forfeit their
full registration fee. If Paramount cancels the event for which you have registered, the registration fee paid will be held on
account for a future event or fully refunded if you prefer. Paramount is not responsible for any expenses incurred by you as a
result of your registration, whether the event was attended, postponed, or cancelled.

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