Number of Participants to Register
*Required

Fall Workshop
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 2
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 3
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 4
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 5
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 6
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 7
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 8
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 9
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Fall Workshop - Form 10
*Required
 Yes     No    
 CPRP     CPRE     CTRS     CPSI     None    
 Yes     No    
 IPRA Member ($145.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($195.00)     Non-IPRA Member ($310.00)    
 IPRA Member ($105.00)     Non-IPRA Member ($135.00)    
 IPRA Member ($55.00)     Non-IPRA Member ($85.00)    
 IPRA Member ($10.00)     Non-IPRA Member ($15.00)    
 Ames #1 ($20.00)     Story City/Nevada #2 ($20.00)    
 Golf ($60.00)    

Payment Information
*Required
$0.00
Month     Year 

Billing Information (Address must match with address on credit card statement)
*Required


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