2023 Non-Discrimination Testing Symposium Registration Form

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Email *

Location: Paséa Hotel & Spa

21080 Pacific Coast Hwy

Huntington Beach, CA 92648

To register, complete the form below:

Then MAIL a check for the registration fee to:
Larry Deutsch Enterprises
Non-Discrimination Testing Symposium
3266 Sol Vista
Fallbrook, CA 92028

You will need to complete a separate registration form for each individual attending.

Note: If you would rather not submit this form online you are welcome to print this page & mail it to the above address along with the check.

If you have any questions about registration, please call us at 1 (800) 477-0374

Name & Enrollment Number

First Name *

Last Name *

Enrollment Number

For JBEA Credit

PTIN for IRS Credit

(Should you need IRS credit, you must provide your PTIN)

Company Name & Address

Company Name *

Street Address

Address Line 2

City

State

Postal Zip Code

Contact Information

E-Mail

Fax Number

Select the days that you will be attending

(Check all that apply)

DAY ONE - Seminar: Wednesday February 22, 2023

DAY TWO & THREE - Symposium: Thursday February 23 - Friday February 4, 2023

DAY FOUR - Tentative: Reserved for potential new legislation or guidance. Saturday February 25, 2023

DAY FIVE - Penguin Software Demo Q&A (software clients & potential new clients): Sunday February 26, 2023

Tentative Meals

Registration includes the following:

Wednesday, February 22nd, 2023: Continental breakfast & Lunch
Thursday, February 23rd, 2023: Continental breakfast, lunch & dinner
                                                        *Dinner location & time TBA
Friday, February 24th, 2023: Continental breakfast & Lunch
Saturday, February 25th, 2023: Continental Breakfast & Lunch
Sunday, February 26th, 2023: Brunch

Dietary Needs

(Please list any dietary allergies or special needs)

Have you previously attended this Symposium?

Yes

Clear selection

Note:

Print this page for your records before submitting.
Also, please remember to mail your check for the registration fee.

A copy of your responses will be emailed to the address you provided.

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