Workshop Registration Sheet

Workshop Name:
Date:

First Name:	MI: Last Name:
Street Address:	Apt#:
City:	State: Zip Code:
Phone Number:
Email Address:
	Please check if you would like to receive information about future workshops.
	Please check if you would like to receive our quarterly e-newsletter (must provide e-mail address).
How many guests will be attending with you?

Please give a brief description of the business you are seeking to start or you currently operate.

Please list any other small business and individual accounting topics you would like to learn about.

NOTE: This information will remain confidential and will help us tailor our workshops to your needs.