Registration for Charitable Organizations
Early and Regular

Day 1: How to Successfully Lobby State Legislatures
Day 2: How to Successfully Lobby State Regulatory Agencies

Please complete the following and with your US Treasury IRC Letter of Determination of 501(c)(3) status send or fax to:

Send to:
Engineering THE LAW, Inc.
500 Lake Ave, No. 107
Lake Worth, Florida 33460
Tel: 561 582 0501
Fax Your Registration to: 866 829 3989 (toll free)

Early Registration requires your registration and payment both are in our hands 10 or more days before the seminar date.

Today's Date

Seminar Date and Place I Am Registering for

Registrant's Name

Title

Organization Name

Daytime Telephone Number

E-mail Address

Mailing Address

I am registering for (check one box):
Legislative: $360 < 14 days before seminar date
Legislative: Early $340

Regulatory: $160 < 14 days before seminar date
Regulatory: Early $140

Both: $500 < 14 days before seminar date
Both: Early $460

I am paying by:

Check
payable to: Engineering THE LAW, Inc.

Credit Card
Credit Card #

Expires: Month Year 20
Name on Credit Card

Billing Address (if different than mailing address)


Charitable organizations must present their
US Treasury Determination of 501(c)(3) status:
Certificate of tax exempt status is attached