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REGISTRATION FORM Please fill out and mail
along with your check for $180
made payable to the Tampa Bay CPA Group, Inc. Payment must accompany
registration. After October 15, 2011 BASED UPON AVAILABILITY.
NO REFUNDS.
Name_______________________________________Firm____________________________________ _____
Address_____________________________________ City, State, Zip_________________________ _______ _
Telephone___________________ FAX Number____________________ E-Mail__________ __ ________
Mail to: the Tampa Bay CPA Group, Inc., c/o Richard J. Fuller CPA, 2240 Belleair Road, Ste. 125
Clearwater, FL 33764-1703