Team Member Registration ECG

Name*

First Last

Name of Company/Advisor*

Phone

Email*

Which session will you be attending?*

NON-Advisor Group (ECG) Spring Session
NON-Advisor Group (ECG) Fall Session

Credit Card

I authorize the APFA, Inc. to charge $500 to the below credit card for my attendance. Name on credit card/credit card number/expiration date (or call us at (866) 866-0472 with information)

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