MSBA Section Registration Form

MSBA Sections/Committee
CLE Registration Form

Attention (please circle one):
Kim Basting; Sue Bores; Elyse Farnsworth;
Ashley Hacker; Nancy Mischel; Tram Nguyen

Section/Committee Sponsor:

Event Name:

Event Date:

Name:

Telephone:

Employer:

Dietary Needs:

Visa/MC/AMEX#:

Exp. Date:

Registration Total:

Mail form and payment to:
MSBA
600 Nicollet Mall #380
Minneapolis, MN 55402
Fax: 612-333-4927

612-333-1183 or 800-882-6722