13th ANNUAL
INDIANA TAX SALE
SEMINAR

Friday, August 5, 2011
8:00 a.m. to 5:00 p.m.
La Quinta Inn & Suites
(I-465 & Emerson)
5120 Victory Drive
Indianapolis, IN 46203
317.783.7751 (Hotel)

Course Registration Form
- Please Print and Mail -

Mail this form together with payment in the amount of $349.00 per person to:

Indiana Tax Sale Seminar
c/o William R. Richards, P.C.
5120 Commerce Circle, Suite B
Indianapolis, IN 46237
Phone:  317.859.5666
Fax:  317.859.5660

Please enter __________ registration(s) for the Seminar. I have enclosed a check for $349.00 per registrant, payable to Indiana Tax Sale Seminar
I cannot attend. Please send me the course materials only. I have enclosed
a check for $249.00 to cover the costs of materials in Paper/Book-style Manual
format.
I cannot attend. Please send me the course materials only. I have enclosed
a check for $249.00 to cover the costs of materials in USB/Flash Drive format.
Please provide the materials to me in both a Paper/Book-style Manual
AND a USB/Flash Drive. I have enclosed an ADDITIONAL $35.00 so that I may
receive the manual in both formats.
Name: ______________________________________________
Address: ______________________________________________
  City: __________________________ State: __________
Zip Code: ______________
Phone: ______________________________
E-Mail Address: ______________________________
Special Accommodations: _____________________________________________


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