52nd ABMTS Registration Form

'AIMing to Inspire & Motivate'

Registrant Information

Last Name * First Name *

Member *

Yes No

AIM Member Number Address (Line 1) * Address (Line 2) City * State * Select an option:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDist of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Business Phone Personal Phone * eMail * Business Unit EDIHCOITLB&IRetiredSBSETEGEW&I Chapter Affiliation *

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Employment Info

Employment *

IRS Retired Other

Grade

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Registration Options

1st Timer? *

Yes No

NOTE: Each item below includes a processing fee to cover the cost of electronic payment.

NOTE: Subsequent payment plan payments require completion of Registrant Information section above.

Registration *

Member - GS-7 & below ($52 USD) Member - GS-8 & above and Retired ($103 USD) Non-Member ($103 USD)

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Additional Tickets - If purchasing more than one ticket, please do a separate Form.

None ($0 USD) Opening Session ($26 USD) Taking Charge of your Career (Executive Coaching) ($36 USD) Workshop (per workshop) ($26 USD)

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Additional Comments

Payments will be processed through PayPal. Therefore, you will see an additional fee per registration item. If you do not have a PayPal account, you can still submit your payment by clicking "Pay with Debit or Credit Card" at the bottom of the Paypal.