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REGISTER FOR MEETING

REGISTER FOR THE NORTHERN DISTRICT CLERK'S ASSOCIATION MEETING
Creative Financial Centre, Kokomo, IN
March 8, 2012

The Northern District Clerk's Association Meeting will be held in Kokomo, IN at the Creative Financial Centre on March 8, 2012. Use the form below to send in your registration information. A registration fee of $30 will need to be sent separately by regular mail.

Registration Deadline: March 1, 2012.  

If you have trouble with this form, print the mail-in form

REGISTRATION FORM
 
County:
Name:
Title:
Email Address:
 
   
OTHERS ATTENDING:
Name Title
 
Registration Fee: $30 per person
Make Check payable to: Northern District Clerk's Association
c/o Christa Coffey, Tippecanoe County Clerk
PO Box 1665
Lafayette, IN 47902