Detroit Registration Form

06/19/2002 DETROIT, MICHIGAN

Register by Form for: (complete, print, mail/Fax)

06/19/2002 "Portfolio Guidelines & Tax Considerations"

Please select Sessions you would like to attend: (move mouse arrow to each box and click)

Education:3:00-5:30pm; Pricing-Member No Charge; Non-member $100**

Dinner Meeting:5:30-8:30PM; Pricing-Member $100; Non-member $150**

**Non-members: If you attend both sessions, you will receive a price 
of $200.00 when you pay in advance.

Please indicate Member status: (move mouse arrow to a button and click)
Current member Become a member($1000/annum) Non-member
Please provide: (use Tab key to move between fields; '*' indicates required field)
Name*	Email*	Phone*	Company*

Print this form now, then

NOTE- DO NOT ENTER CREDIT CARD INFO. ONLINE: Print this form then write in credit card info. and Fax or mail to: International AngelInvestors Institute-Ohio/ 55 Public Square #2000/Cleveland,OH 44113; Fax 707-988-7662. Alternatively you may mail a check to same address. For questions email David Weaver at dweaver@aimattech.com or call 248-540-3758.

Card Type,circle:	Card# (16 digits)	Exp.(mm/yy)	Name on Card
MC or VISA

Billing Address: Street	City, State	Zip

$Amt:

Signature:

Date:

"Portfolio Guidelines & Tax Considerations"

Wednesday June 19, 2002

(starts at 3:00 PM, followed by dinner program starting at 5:30 PM)

Oakland Hills Country Club

3951 W. Maple Road
Bloomfield Hills, MI 48301

248.644-2500

ALSO, PLEASE REVIEW MEMBERSHIP LINK AT THE SITE

SAVE WHEN YOU BECOME A MEMBER AND REGISTER FOR THIS EVENT

NEED YOUR MEMBERSHIP SUPPORT!!