Please complete this form for one or more attendees for each seminar or training opportunity.
Agency Name:
CSRMA Member:
Seminar/training title:
Seminar/training Date:
Number of attendees that will be
attending this seminar/training:
Contact Name:
Contact Address:
Contact Email Address:
Contact Phone Number:
In the space below, please provide us with the names of all attendees:
Comments/Questions?

There is a nominal fee of $50 for all Non-CSRMA members attending this seminar. Please make check/payment to "CSRMA" and send to: Attn: Linh Chau, CSRMA 600 Montgomery Street, 9th Floor San Francisco, CA 94111

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