Registration Form for Managing the Balance Sheet in an Inflationary Environment
PLEASE DUPLICATE FORM
BANK/COMPANY NAME:______________________________________________
REGISTRANT NAME:_________________________________________________
CELL NUMBER:_____________________________________________________
EMAIL ADDRESS:___________________________________________________
Registration Fee:
_____ $99 per device for Member Banks
_____ $189 per device for Non-Member Banks
PAYMENT:
_____ Please invoice _____ Please charge my credit card below.
TO REGISTER: Complete & Email to lrichardson@msbankers.com
QUESTIONS: Contact Lori Richardson by calling (601) 709-3736 or emailing at the address above.
Credit Card Information
Name on Bank Card__________________________________________________
Credit Card Number___________________________________________________
Expiration Date___________________________CVV________________________
Billing Zip Code_____________________________________
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