Safety and Health Conference & Human Resources Workshop & Conference

 

Event:


Additional Attendees (up to 4 per online form):
Attendees Name
Registration Contact Name:
Company Name:
  Street Address:
  City, State, Zip:
  Phone: Contact E-mail Address:
   
Total Cost
  • Conference registration fee includes meals and events noted on schedule.
  • To register more participants please submit another online form.

Cancellations:
Registrations cancelled up to 21 business days prior to the event will be refunded, less a $50 administrative fee. No refunds will be given after March 19, 2012. This includes all late registrations.

*Registration and attendance at, or participation in, Carolinas AGC's meetings and other activities constitutes an agreement by the registrant to Carolinas AGC's use and distribution (both now and in the future) of the registrant or attendee's image or voice in photographs, printed materials, videos, electronic reproductions, and audio tapes of such events and activities.

*Dues, payments and other fees are deductible as ordinary and necessary business expenses under IRS Code Section 162.  Dues and similar payments, as well as contributions and gifts, are not deductible as charitable contributions.  An amount equal to 7% of dues is allocable to lobbying activities conducted by the Association on behalf of its members.  Members are not allowed a deduction for Federal Income Tax purposes for this portion of their dues.

Billing Information
Name on Card:
Billing Address:
City:
State:
Zip:
E-Mail Address:
 
Amount Charged: $
Type of Card:
 Visa  Mastercard  Amex  Discover
Pay By Company Check (send with your e-mailed receipt)
 
Card Details:
Card Number:
 Verification Code:
 Expiration:

ex. (xx/xx)

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