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National
Tax Association
Please
register before
REGISTRATION
FEE NAME(Print
or Type)___________________________________________________________ City/State/ZIP_________________________________________________________________ Phone__________________________ FAX _________________________________________ E-mail________________________________________________________________________ Member
of NTA __________Yes ___________No Payment
Method ________Check
payable to National Tax Association ________Purchase
Order (please send a copy of the approved form) ________Invoice
company/agency ________PayPal ________VISA
or MasterCard (sorry, we do not accept
American Express) Acct.
Number___________________________________________________________ Expiration
Date__________________________________________________________ Signature________________________________________________________________
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