seminar_registration

2017 BFA Online Seminar Registration

For the April 1, 2017 streaming seminar

Test Complete
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Reg_Number
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  ATTENDEE INFORMATION

Any fields marked (*) are required.
Are you a current BFA Member?

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Choose if you are a current BFA member

First Name(*)
Enter your first name

Last Name(*)
Enter your last name

Street Address(*)
Please enter your street address

City(*)
Enter your city

State(*)
Choose your state. Select 'Foreign State' if outside the USA.

Choose your state. Select 'Foreign State' if outside the USA.

Postal (Zip) Code(*)
Enter the zip code of your area

Enter your zip code

Country
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Enter your country

Email(*)
Enter your email address

Enter a valid email address

Flying Status(*)

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Enter your flying status.

BFA Number
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Enter your BFA Number. It is in the top right of this screen if you logged in. Call the office at (515) 961-8809 if you need help.

Phone(*)
Enter your primary phone number

Enter your primary phone number

Insurance Company(*)

Enter the insurance company you would like us to notify of your completion.

Enter the insurance company you would like us to notify of your completion.

Other Insurance Co.
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Which local balloon club do you belong?
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Let us know if you are a member of any balloon clubs.

Did you utilize a BFA OnLine seminar last year?

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Let us know if you participated last year.

Did You Attend Any Other Safety Seminars Last Year?
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Tell us the city of the seminar(s) you attended, if any.

  CHOOSE REGISTRATION TYPE

All Non-BFA registrants will receive a one year BFA full membership. You can select to receive the Digital magazine (view online) or Delivered magazine (sent to your home).

Online Seminar Registration

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Select your category based on your flying status and membership. For Non-BFA members these prices include seminar registration and full BFA membership.

* The BFA office will automatically set up your new membership account. You will receive an email notice along with website access information shortly. *

Your Comments
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If you would like to leave a note with the BFA office
regarding your registration, type it here.

Total Due
$0.00

Payment Method

Choose to pay by credit card or by mailing us a check

  CREDIT CARD INFORMATION
If paying by check, please SKIP this section.
Credit Card Number
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Card Security Number (3-4 digits)
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The 3 or 4 digit security code for the card.

Expires (Month)
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Select the month the card expires

Expires (Year)
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Select the year the card expires

First Name (on credit card)
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First name of the owner of the credit card.

Last Name
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Last name of the owner of the credit card.

Address
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Enter the mailing address for the card

City
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Enter the city for the cardholder

State
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Enter the state for the cardholder

Country
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Enter the country of the cardholder

Postal (Zip) Code
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Zip code for the cardholder

Phone
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Phone number for the cardholder

  VERIFICATION
Anti-Spam
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  SUBMIT PAYMENT & REGISTRATION

Note: When you press the SUBMIT button, the system will process
your credit card (if selected) and charge your account.