CLICK HERE TO REGISTER ON LINE - THIS IS A SECURE SIGHT!!!!!!!

CLICK HERE TO PAY YOUR DUES ONLINE - THIS IS A SECURE SIGHT!!!!
2012 LSIA Convention
You can register for the 2012 LSIA Convention using your credit card, or pay by check and send in your payment to LSIA. See address provided.
This is a SECURED site. PRINT A COPY FOR YOUR FILES BEFORE SUBMITTING FORM.
Mail checks to: LSIA - P. O. Box 60055 - Lafayette, La. 70596-0055
2012 LSIA Convention will be on June 24,25,& 26, 2012 at the Paragon Casino in Marksville, La. (See link under Seminars for more details)
 *First Name  
 *Last Name  
Spouse or Guest  
 *Address  
 *CityState  
 *Telephone Number  
Email Address  
 *Fees for Convention  
Card Type
 
  Visa     Master Card     American Express
Credit Card # Leave a space aft. each 4th #  
 *ZIP CODE  
CC Expiration Date Mth/Yr  
Pay by check Amount sent to: LSIA P. O. Box 60055 Lafayette, La 70596-0055  
PTIN Number - Will need this number if you want CPE credit to be submitted to the IRS.  
 
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P.O. Box 60055Lafayette, LA 70596-0055(337) 993-9707(800) 847-6276Fax 888-224-8263