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2013 Legislative Lunch and Learn Registration Form
 
AIM Members - $15 per attendee/per event
Non AIM Members - $20 per attendee/per event
 
 
If you are interested in learning about the results from the 2013 Legislative Session, please join us at any of the events listed below. Ray McCarty, AIM President, will be giving an update about Workers Compensation, the Second Injury Fund, Tax Cuts, Unemployment Improvements and Employment Law changes. Lunch will be provided at no additional charge. Please plan to attend the 2013 Legislative Wrap-Up Regional Event in your area!
 
 
ATTENDEE CONTACT INFORMATION:
 
*Prefix
*First Name:
*Last Name:
*Title:
I`m the only attendee from my company
*Company Name
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
*Phone:
Phone Extension:
*Email
 
ADDITIONAL ATTENDEE CONTACT INFORMATION
 
*First Name:
*Last Name:
*Title:
*Email
 
EVENT INFORMATION - All Events are from 12:00pm - 1:00pm
 
*Which city will you be attending?
 
 
LEBANON: VENUE CHANGE
6-10-2013
Location:
Dowd`s Catfish and BBQ
1760 West Elm Street
Lebanon, MO 65536
 
NE MISSOURI:
6-11-2013
Location:
BASF Corporation
Administration Bldg., Conference Room 1
3150 Highway JJ
Palmyra, MO 63461
 
JEFFERSON CITY:
6-12-2013
Location:
Associated Industries of Missouri
Lower Level Conference Room
3234 West Truman Blvd.
Jefferson City, MO 65109
 
PAYMENT INFORMATION:
 
*Member Type:
 
Member Registration
 
Non-Member Registration
 
 
Grand Total:
 
*Billing Method:
*Credit Card Type:
*Credit Card Number:
*Credit Card Expiration Month:
*Credit Card Expiration Year:
*REGISTRATIONS ARE ONLY FINALIZED ONCE PAYMENT HAS BEEN RECEIVED*


I certify that I am an authorized user of the credit card indicated in this web form. By clicking “Submit”, I authorize Associated Industries of Missouri to charge the credit card indicated above, for the amount indicated in the “Grand Total” field.

Cancellations must be received by the AIM office 2 business days before the event, for refund eligibility.
 
  I have read and understand all of the statements above* 
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