S E M I N A R R E G I S T R A T I O N F O R M
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PHONE |
E-MAIL |
OR MAIL TO: |
Michael Mosher, CPA Chapter Treasurer 716-774-8318 |
Please Reference: IMA Tax Seminar Registration |
Niagara Chapter
– IMA C/O Michael Mosher, Tres. 130 Timberlink Dr. Grand Island, NY
14072 |
PARTICIPANT REGISTRATION:
1. Name (IMA? No Yes Chapter ____________) C.M.A. _____ C.P.A. _____
Professional License #_______________ E-mail**
2. Name (IMA? No Yes Chapter ____________) C.M.A. _____ C.P.A. _____
Professional License #_______________ E-mail**
3. Name (IMA? No Yes Chapter ____________) C.M.A. _____ C.P.A. _____
Professional License #_______________ E-mail**
Please mark an “X” If Participant is an IMA Member please indicate below
which chapter Participant belongs to) or is a C.P.A. or C.M.A. .
Please
attach a separate sheet for any additional participants or for anyone from a
different Firm or
Employer.
Address _____________________________________________________________________________
City _______________________________________ State _____________ Zip _____________________
Phone Fax Web site
**Going Green: Seminar materials will only be available in a digital
format. Materials are posted on the Niagara IMA Chapter website and
shall be available to fully paid
registrants whose registration and
payment are received by the IMA prior to November 30,
2018. Passwords and instructions
necessary to access site link will be emailed to registrants on that date. Pre-seminar
access for others will not be made available though access will be available
at the seminar and one week thereafter for fully paid registrants. Paper copies will not be
provided by the IMA. Printing services at the Four Points are limited and
requires additional cost to you. As such, it is imperative that an email
address for each registrant be given to us so that the
password may be sent to you. The IMA encourages you to print documents
of interest in advance and to bring your Wi-Fi enabled laptops since Wi-Fi is
available onsite. |
DATES AND TIMES: Tuesday, December 4, 2018 at the FOUR POINTS SHERATON at 7001 Buffalo Avenue, Niagara Falls, NY -
(716) 299 0344. Registration begins at 10:00 a.m. The program runs from 10:30 a.m.
to approximately 5:15 p.m. including lunch. Qualifies for 7.0 CPE Hours in Tax. (Exact times are subject to change.)
Per Person Seminar Charge if Registration & Payment is received
by I.M.A. – Niagara Chapter: |
Fee for an IMA Member |
Fee for a Non-IMA Member |
Fully Matriculated
Student w Valid Current ID |
Received ON
or BEFORE Monday, November 26,
2018 |
$105.00 U.S. |
$130.00 U.S. |
$30.00 U.S.
|
Received by
IMA After November 26, 2018 |
$130.00 U.S. |
$150.00 U.S. |
$40.00 U.S.
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SEMINAR FEES:
Payment Required = No. of Member Participants Listed
Above x $_____ per person = U.S. $
Add: No. of Non- IMA Member Participants
Listed Above x $_____ per person = U.S. $
Add:
No. of Student Participants Listed Below x $_____ per person = U.S. $
Check enclosed for U.S.
$ . Check # . (Payable
to the “Niagara Chapter -
Institute of Management Accountants“).
If registrant is/are a fully matriculated student(s), please
indicate who is a/are student(s) and provide name of school and major
below. Proof at seminar required.
DISCOUNTS: Participants may apply for a discount to attend
this program based on financial hardship.
Under that policy, participants who have a genuine financial
hardship may apply in writing no later than ten (10) working days before
the program explaining the basis of his/her hardship, and if approved by
AND upon the sole discretion of the sponsoring board, the applicant may
receive a discount depending on the circumstances. For more details please contact Anthony
Casilio at (716) 579-7999.