Community Association Leadership Lobby Event Registration Form


Hot-Topic, Hot Breakfast for Credit
Tuesday, April 27, 2010
Breakfast at 7:30 AM - Program at 8:30 AM

The JACARANDA COUNTRY CLUB 9200 West Broward Blvd. in Plantation




Title

First Name
*

Middle Name

Last Name
*

Suffix

CAM

CAM License

Management Company Name

Board Member

If you are a board member, what is your position?

Unit Owner

Association Name (full name)

Street Address
*

Street Address 2

City
*

State
*
Zip
*

Address Type
*
Phone
*

Phone Type
*
Email Address
*

Email Type
*
How did you hear about our seminar?

Are you a client of Becker & Poliakoff, P.A.?