The American Group - Seminar Registration

Turn Your Health Care
Premiums into a
Retirement Account,
Reduce Overall Costs,
and Maximize Efficiencies
to Grow Your Business!
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	Members of

The American Group

Registration

Designed for Owners, Presidents, Vice Presidents and Controllers

$25.00 per person: refreshments and light breakfast provided

Program hours: networking 8:30am - 9:00am, program 9:00am - 11:00 am, prize giveaway ($100 gift certificate)

Registration Form (fields marked with are required to submit form)*
*Salutation	Mr. Ms. Dr.
*Full Name
*Title
*E-mail
*Seminar Date	(mm/dd/yy)
Salutation	Mr. Ms. Dr.
Full Name
Title
E-mail
Seminar Date	(mm/dd/yy)
Additional Number Attending:	(please list additional registrants in an e-mail sent to tape@theamericangroup.net).
*Company Name
Business Industry
*Address
*City
*State
*ZIP/Postal Code
*Phone
*Fax
Current Health Care Provider
Renewal Date	(mm/dd/yy)
# of Employees
# of Union Employees
Payment Method	Credit Card - we will contact you for information Check - send check payable to: The American Group 127 North Cleveland-Massillon Road Akron, OH 44333 Check must be received before seminar.
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	Click here for a free, no obligation quote prior to the seminar.