The Better Budgetingbrochure Is Posted On

Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
Encore Presentation
January 11, 2018, 2-4:00pm EST
Instructions:

• The purpose of this sheet is to add participants only.
  Please type registrants' information directly into the form below and save before e-mailing, printing, or faxing to the GFOA.
• This sheet must be submitted with the Better Budgeting registration form and payment referenced in the Better Budgeting brochure.
• The Better Budgetingbrochure is posted on
• Group fees are detailed in theBetter Budgetingbrochure.
• Please submit the Better Budgetingregistration form, payment, and the list of additional participants to:
• Payment by check:

Make payable to “Government Finance Officers Association”
Send to: GFOA • 203 N. LaSalle Street, Suite 2700 • Chicago, IL 60601-1210

• Payment by credit card:

Scan and e-mail this form to ; fax to (312) 977-4806;
or send to: GFOA • 203 N. LaSalle Street, Suite 2700 • Chicago, IL 60601-1210

• Billed registration:

Scan and e-mail this form to or fax to (312) 977-4806.
Registrant 1
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
Substitution
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 2
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 3
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 4
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 5
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 6
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 7
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 8
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 9
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 10
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 11
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 12
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 13
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 14
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 15
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 16
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 17
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 18
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 19
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 20
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 21
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 22
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 23
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 24
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 25
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 26
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 27
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 28
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 29
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 30
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 31
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 32
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 33
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 34
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 35
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 36
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 37
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 38
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 39
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 40
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 41
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 42
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 43
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 44
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 45
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 46
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 47
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 48
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 49
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 50
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 51
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 52
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 53
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 54
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 55
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 56
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 57
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 58
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 59
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 60
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 61
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 62
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 63
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 64
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 65
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 66
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 67
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 68
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 69
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 70
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 71
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 72
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 73
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 74
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Registrant 75
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N
Active Member #:
Active Member Name:
Group Registration Form – Second AnnualBetter BudgetingWeb-streaming Event
January 11, 2018, 2-4:00pm EST
Registrant 76
Full Name:
Title:
Company:
Address:
City, State/Province, Zip:
Telephone:
E-Mail Address (MANDATORY):
GFOA Membership #:
SUBSTITUTION? - Y/N