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1. Registration Information
Thank you for your interest in one of our training seminars or events. Please complete the information below. A registration confirmation email will be sent upon review of your form.
For additional information please contact Christine Sieber at: SieberC@collectionsoftware.com or by phone: 1-800-435-7257 ext. 222.
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1
. Which seminar would you like to register for?
Fundamentals Seminar March 19-20, 2012 ($300 per attendee)
Financial Seminar April 16-17, 2012 ($350 per attendee)
Advanced Concepts Seminar June 7-8, 2012 ($450 per attendee)
Which seminar would you like to register for?
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2
. Please complete the first attendee's contact information.
Please complete the first attendee's contact information.
Full Name:
Firm's Name:
Firm's Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:
3
. Of the following, which best describes the attendee's job title?
Attorney
Collection Manager
Collector
Legal Assistant
Paralegal
Administrator
Accounting Professional
IT Professional
Of the following, which best describes the attendee's job title?
Other (please specify)
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4
. How long has the attendee been using Collection-Master?
How long has the attendee been using Collection-Master?
0 to 3 months
4 to 6 months
7 months to 1 year
1 to 3 years
3 to 5 years
5 to 10 years
10 to 15 years
15 to 20 years
More than 20 years
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5
. Which version of Collection-Master does your firm currently use?
Collection-Master 8.0
Collection-Master 7.3
Collection-Master 7.2
Collection-Master 7.1
Collection-Master 7.0
Collection-Master 6.4
Collection-Master 6.3
Collection-Master 6.2
Collection-Master 6.1
Collection-Master 6.0
Collection-Master 5.3 or previous
Not sure
Which version of Collection-Master does your firm currently use?
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6
. Would you like to register another attendee?
Would you like to register another attendee?
No
Yes
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