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2011 LSCU State GAC April 13 - 14, 2011 Tallahassee, FL Registration Fee: $99 per person

Attendee Information: Name: Job Title: Phone:

Email:

Credit Union Information: Company: First Name:

Last Name:

Address: City:

State:

Phone:

Email:

Zip Code:

Mail Payment to: LSCU Attn: Finance PO Box 3108 Tallahassee, FL 32315 Fax Credit Card Payment to: 850.558.1115 Registration Questions: Angie Meisenheimer 866.231.0545 x1114 Event Questions: Becki Payne 866.231.0545 x2129


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