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<br />Advanced Zoning And Land Use <br />,', . ~ <br /> <br />Page 3 of3 <br /> <br />Company <br />Address <br /> <br />City, State, Postal Code <br />Phone <br /> <br />Fax* <br /> <br />* Providing your fax number or email address constitutes an express invitation to send you fax or email advertisements about future Lorman programs. <br /> <br />Seminar Tuition <br />_ $329.00 for a single registrant <br />_ $319.00 each for two or more from the same organization <br />_ $349.00 plus $5 shipping/handling for the CD/manual package order only <br />_ $109.00 plus $5 shipping/handling for the manual only <br /> <br />Method of Payment <br />_ Check enclosed payable to Lorman Education Services <br />_ Charge to credit card _AE _Me _Visa <br />Exp. Date <br />Card # <br />Signature <br /> <br />Cancellations: <br />Substitute registrants are welcome and may be named at any time. If you cancel six or more business days in <br />advance, you will receive a full refund, less a $20.00 service charge. If you cancel within five business days you <br />are not entitled to a cash refund. However, as a courtesy, we will allow you to apply your payment toward a future <br />Lorman seminar within one year from the date you cancel. Your payment is transferable. Please note that if you <br />do not attend and you do not cancel as described above, you are responsible for the entire payment. <br /> <br />For more information regarding administrative policies or to make suggestions, please contact our offices at 888- <br />678-5565. <br /> <br />This seminar may be recorded. Your registration constitutes your consent to such recording. <br /> <br />Lorman Education Services 12510 Alpine Rd. I Eau Claire, WI I 54703 <br /> <br />To unsubscribe or adjust your settings for future commercial email messages click here or email <br />customerlist@lorman.com with unsubscribe as the subject or call 1-800-752-0244. <br /> <br />10/8/2004 <br />