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Registration Form

REGISTRATION FORM

for

Your Tax & Financial Planning Roadmap


Thank you for your interest in our seminar. In order to better serve you, please complete the registration form below and indicate which areas we can assist you in. Someone will be in contact with you shortly to confirm based on the information that you provide. Thank you.

Method of payment:

  1. Payment by phone: please provide credit card information by calling (949) 336-1345.
  2. Payment online, please click "Pay Your Invoice" and follow instruction.
  3. Payment by mail, please make check payable to:

Dalmacio & Associates, Inc.
5 Corporate Park, Ste 150
Irvine, CA 92606


Name :
Street Address :
City :
State :
Zip Code :
Phone :
Fax :
Email :
Seminar Date:
No. of person
Total Fee: ($99 per person)