Event Registration

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Register for Event

To ensure a successful registration, please:

Check your registration results message after clicking on the Submit button.
Watch your inbox for a confirmation e-mail after you register. If you do not receive one, please call and confirm your registration.

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First Name

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Last Name

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Job Title

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Credit Union Name

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Address1

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Address2

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City

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State

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Zipcode

E-mail Address

phone

Telephone

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Select Option

Hotel

I require hotel accomodations

I do not require hotel accomodations

Hotel¹:

¹EasCorp reserves a limited number of rooms that are available on a first come, first serve basis. In the event these accommodations are sold out, arrangements will be made for off site accommodations.

Check-in Date

# of Nights

Fees

Deduct the fee from my EasCorp account when applicable

I will mail a check to: EasCorp, 35 Corporate Drive, Suite 300, Burlington, MA 01803

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