Mail Registration Form

NTA's 93rd Annual Conference on Taxation
Santa Fe, New Mexico
November 9-11, 2000

MAIL/FAX REGISTRATION FORM

Send Registration Form to
Annual Conference on Taxation
National Tax Association
725 15^th Street NW #600
Washinton DC 20005-2109
Fax to 202/737-7308

Please register before November 1, 2000.
No refunds will be given for cancellations after November 1.

1. Registration Fees

Member      $260
Nonmember   $345 (includes one-year NTA membership)
Student            $ 55 (members and non-members)

2. NAME (Print or Type)________________________________________________________

3. Mailing Address

Affiliation______________________________________________________________________

Street Address________________________________________________________________

City/State/ZIP_________________________________________________________________

Phone FAX E-mail______________________

Member of NTA Yes No

Attending Spouse/GuestName_________________________________________________
(No registration fee)

4. Payment Method

Check payable to National Tax Association

Voucher*

Purchase Order*

Invoice company/agency

VISA or MasterCard (Sorry, we do not accept American Express)

Acct. No.

Expiration Date

Signature

*Please send a copy of the approved form.
Confirmation on request.