Registration based on availability

St. Louis Chapter / Appraisal Institute

Enrollment form (to print out and mail).
Credit card payments may be faxed to: 314-355-4258 (please submit this form)

To enroll by mail, return this form with a check payable to: Appraisal Institute
or Credit Card info.
Mail to: Cathy Mifflin / Appraisal Institute / 11724 Talbott Court, St. Louis, MO 63138

If you have questions, call Cathy Mifflin at (314) 355-8890.
cathymifflinaistl@msn.com

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Course / Seminar:	EVALUATING_RESIDENTIAL_CONSTRUCTION_JUN_2004________________________________________
Name:	__________________________________________________
Business Name:	__________________________________________________
Address:	__________________________________________________
City/State/Zip:	__________________________________________________
Business Phone:	__________________________________________________
Business Fax:	__________________________________________________
E-mail:	__________________________________________________
Home Address:	__________________________________________________
City/State/Zip:	__________________________________________________
Home Phone:	__________________________________________________
Amount Paid	$_________________________________________________
MC/VISA	__________________________________________________
EXP. DATE	__________________________________________________
Signature on card:	__________________________________________________
SSN: (Confidential. Needed for AI roster.)	__________________________________________________