REGISTRATION FORM

BIM Educational Seminar

APRIL 4TH 2008

Developed by ASPE and UNLV

at $150.00 per ticket

PLEASE PRINT FORM AFTER SUBMITTING

or to

Fax Form to : (702) 446-8314

BY SUBMITTING THIS INFORMATION YOU AUTHORIZE THE ASPE TO CHARGE YOUR CREDIT CARD FOR THE AMOUNT OF THE SEMINAR TICKETS.