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Arizona Credit Union System Event Registration Form:

ACUL-PAC Awards Dinner and State GAC
January 29th & 30th, 2008
Sheraton Phoenix Airport Hotel in Tempe
1600 South 52nd Street
Tempe, Arizona 85281

Participant Information Required Field

Full Name

Title

Last 4 digits of SNN

Email

Credit Union Name

Credit Union Mailing Address

City

State

Zip Code

Telephone Fax  
 

If you are completing this form for another individual, please complete the following fields: (optional field)
Person Completing Form Your Email Your Phone

Registration Options (Select All That Apply) Required Field

2008 ACUL-PAC Awards Dinner ($55.00) Note: Presidential, Senatorial, and Congressional Capitol Club Members will not be charged for this event.

2008 State GAC ($198.00)


Payment Options (Select One) Required Field

Share Draft, Money Order or Check

FirstCorp Transfer -  Pin Required:

Other (League Use Only)


Message (optional)


Before submitting your registration:  Please review your information and make sure all the required fields are completed.  Your registration may not process correctly if all required information is not filled out.