Pay by Check - BankersHub Powered By BankerCollege

USE THIS FORM ONLY IF YOU WISH TO BE REGISTERED FOR AN EVENT BY PAYING BY CHECK WITH AN INVOICE

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	First Name (Primary Contact)*
	
		                
        
    					


	Last Name (Primary Contact)*
	
		                
        
    					


	Email (Primary Contact)*
	
		                
        
    					


	Primary Contact Phone*
	
		                
        
    					


	Is Primary Contact Attending the Event?*
	
		            
                Yes
            
		            
                No
            
							


	First Name (Attendee)
	
		                
        
    					


	Last Name (Attendee)
	
		                
        
    					


	Email (Attendee)
	
		                
        
    					


	Institution or Company Name*
	
		                
        
    					


	Type of Company
	
		        
						


	Purchase Order # (if applicable)
	
		                
        
    					


	I agree to remit this invoice in full within 20 days of invoice date.*
	
		            
                I agree to remit this invoice in full within 20 days of invoice date.*
            
    
    					


	I agree with the BankersHub's Manual Invoice Cancellation Policy requiring at least 2 business days notice of cancellation to service@bankershub.com. Cancellations on invoices already paid require up to 2 business weeks for processing and will be remitted by check to the address above.*
	
		            
                I agree with the BankersHub's Manual Invoice Cancellation Policy requiring at least 2 business days notice of cancellation to service@bankershub.com. Cancellations on invoices already paid require up to 2 business weeks for processing and will be remitted by check to the address above.*
            
    
    					


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			Address
			
				
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