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The Basic Course Registration
Please fill out all required fields.
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In-Person Registration Fees
*
Standard Registration -
$950.00
NM Residents -
$850.00
Includes course registration and meals.
Total
$0.00
Name
*
First
Last
Email
*
Secondary Email (optional)
i.e. admin or assistant's email
Occupation (check all that apply)
*
Economic Development
Government
Business
Student
Retired
Other
Other Occupation
Title
*
Business / Organization / School
*
Address
*
Address Line 1
Address Line 2
City
New Mexico
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
This address is my
*
Business Address
Home Address
Mobile Phone
*
Secondary Phone (Optional)
i.e. admin or assistant's phone
Will you be staying as a hotel guest?
Yes
No
Do you have any dietary restrictions?
Yes
No
Please let us know what dietary restrictions you have:
How did you find out about our course?
*
IEDC - International Economic Development Council
Local Council of Government / EDO
Online Search
Referred by Friend or Colleague
Print Ad / Article
LinkedIn
Other
Other Source
Name of Friend / Colleague who referred you
Why are you taking this course?
What course topics are of highest importance or interest to you?
Total
$0.00
Preferred Payment Method
*
Pay now via PayPal
Send me an Invoice
Pay in-person at registration
PayPal Commerce
PayPal Checkout
Credit Card
Card Number
Expiration Date
Security Code
Card Holder Name
Submit
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