How Many of Your Employees Are Disabled Under the New Federal Law?---Most!
$229 first attendee, $199 each additional attendee from same company
9:30 a.m. to 12:00 p.m.
October 27, 2009 - Milwaukee, WI - Krukowski & Costello, S.C.
November 6, 2009 - Racine, WI - Radisson Hotel Harbourwalk
November 10, 2009 - Madison, WI - Crowne Plaza
November 11, 2009 - Eau Claire, WI - Holiday Inn-Campus Area
November 12, 2009 - Appleton, WI - Holiday Inn Select
Please fill-in the form completely and click the submit button. Your registration will be processed promptly and you will receive a confirmation packet via email containing an invoice, confirmation letter and location details. If you do not receive a confirmation packet prior to the program date, please call (414) 423-1330 to ensure that you are registered. Sorry, no online or credit card payments at this time. Refunds are available up to five business days prior to the seminar, less a $25 cancellation fee. Transfers are accepted. Hotel accommodations are not included.
You may also print this form and fax to (414) 423-6930 or call (414) 423-1330 to register.
If you would like to submit payment with your order, print this form and mail with payment to:
Krukowski & Costello, S.C.
PO Box 28999
Milwaukee, WI 53228-0999
Please register the following:
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Seminar date & Location
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First Name
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Last Name
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Title
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E-mail
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First Name (2nd Attendee)
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Last Name (2nd Attendee)
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Title (2nd Attendee)
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E-mail (2nd Attendee)
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Company
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Mailing Address
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City, State & ZIP
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Phone
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Fax
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Company Website
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# of Employees
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Union?
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Purchase Order #
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| Did you speak with someone from Krukowski & Costello regarding this program? |
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Notes
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Thank you for your registration
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