Health and Welfare Benefit Plan Compliance Update:
What You Need to Know for 2010 and Beyond...Plus a Little More
Registration for this March 2, 2010 program is closed You may purchase a CD recording of the actual presentation

Fax and Mail Purchase Form
The CD will be mailed approximately seven (7) business days from receipt of your paid in full registration. Sales tax will be added for shipments within California. If paying by check please add appropriate California sales tax.

_____ I wish to purchase the CD recording for $219.00

Full payment is required at the time of purchase, IAML cannot invoice for AudioPro Conferences. IAML's Federal I.D. Number: 95-3548502.


___ Mr.     ___ Ms.

Name: _____________________________________________________

Bus. Phone: ________________________________________________
(include area code)

Extension: ______________________________

Fax: _______________________________________________________
(include area code)

Email (required): ___________________________________________

Title: _____________________________________________________

Employer: __________________________________________________

Employer's Address:
____________________________________________________________

____________________________________________________________

City:_________________________________________

State: ___________________________ Zip: ______________

Payment

___ Check enclosed

___ American Express ___ Mastercard ___ Visa

Cardholder Name: __________________________________

Card Number: _____________________________________

Expiration Date: (mm/yy) ____________________________

Signature: ________________________________________

Fax to IAML at 949-760-8192 or mail to:  Institute for Applied Management & Law, 1200 Newport Center Drive, Suite 220, Newport Beach, CA 92660.