Southern New England Chapter of the IIA (SNE IIA) REGISTRATION FORM

Southern New England Chapter of the IIA (SNE IIA) REGISTRATION FORM Lunch Training: Communication tactics and strategies for Auditors: How to efficiently deal with internal and external sensitive situations? Friday, October 13, 2017 (2 CPEs) @ Dakota’s Steakhouse in Rocky Hill, CT 12:00pm - 12:45pm – Registration & Lunch 12:45pm – 2:45pm - Training

Please fill in the following information:

Name(s): ______

Company Name: ______

Address: ______

______City State Zip Code

Telephone: ( ) ______

Email Address: ______

Are you an IIA Member? If so, please include your ID#, if available ______

Please describe any special accommodation you would need during the seminar: ______

Payment Method Payment is due prior to the training session.

IIA Members: $40 Non-Members: $55

Check one:

___ Credit Card, you can register and pay directly on our website at http://www.eiseverywhere.com/communication or visit our website http://www.theiia.org/SNE for more details.

___ Check Payment - payable to Southern New England IIA.* For your reference, the TIN # is 23-7300273.

* If registering and paying by check, you may either mail the registration form to: SNE-IIA P.O. Box 302 Broad Brook, CT 06016

Or send via email to: [email protected] [For security purposes, please do not email credit card information.]