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Next Class: February 9 - 13, 2009


1. First, tell us about yourself.

* Required Fields

* Track 1        Track 2 (Must have already attended Track 1)

Name: First *      M.I.       Last *
Title: *       Nickname for Badge: *
Email Address: *
Number of Years in Position:       Number of Years with Credit Union:
Credit Union Name: *
Credit Union Address: *
City: *       State: *       Zip Code: *
Credit Union Asset Size: $
MCIF: Yes No      MCIF Outsourced: Yes No
MCIF Software:
Office Phone Number: * Ex. 480-555-1234 - -
Cell Phone Number: * Ex. 480-555-1234 - -
Emergency Contact: *
Emergency Contact Phone Number: * Ex. 480-555-1234 - -
Website: http://

Special Accommodations: If you require special accommodations to fully participate or have special dietary needs. Please provide a description of your needs below:



Terms and Condtions:
Application for the Early Bird discount must be received by December 31, 2008. Application received after this date will be processed on a space-available basis. By checking on "I Agree." You agree that cancellation must be received before January 16, 2009, with a $200 non-refundable administration fee. Tuition is non-refundable after the date, however, substitutions are always welcome, or may be applied to a future session with a $200 administration fee. To cancel, call 888-536-6243.


I Agree.

By clicking on "Submit Form and Continue with Registration" the applicant agrees to complete the Image Audit prior to attending and bring to the first day of the session. (Image Audit will be mailed to you along with registration packet, upon receipt of application.)

Type in your full name. This will be used as your signature. *

Date: Example: 01/01/2009 / /

Not quite ready to register?
Then explore what we have to offer to you at CU Marketing University.
 
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Credit Union Marketing University
3010 S. Priest, Suite 103, Tempe, AZ 85282
Phone: 480-967-1405, Toll-Free 888-536-6243, Fax 480-967-1407
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