Jan. 2014 IIA Hawaii Chapter Luncheon Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please completely fill out the form below to register for this event!

Event: January 2014 Chapter Luncheon
Topic: IRS Criminal Investigations
Speaker: Derek Tubania, Special Agent, Internal Revenue Service - Criminal Investigations Division
Date/Time: Tuesday, Jan. 21, 2014, 11:30AM – 1:00PM
Location: The Plaza Club, 900 Fort Street Mall, 20th Floor

RSVP deadline: Friday, January 10th

***Please note that the pricing has changed: $35 for members, $40 non-members, $15 students/retirees

First Name *

Middle Name

Last Name *

Organization

Street Address

Apt/Unit/Suite

City

State

Zip Code

E-mail Address *

Telephone *

Registration Type *

Fax

Membership Number

Meal Selection, Special Conditions or Needs:

(Please provide us with details such as dietary needs or a disability)

Comments, Questions, or Additional Information:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms