S E M I N A R   R E G I S T R A T I O N   F O R M

 

 

PHONE

 

E-MAIL

 

OR MAIL TO:

Michael Mosher, CPA

Chapter Treasurer

716-774-8318

mmikenlin@netzero.com

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.

Firm or Employer Name _________________________________________________________________

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.

 

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. $                     

j0316889[1]

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.