Registration for
MSRB FORUMS ON LAND-SECURED DISCLOSURE

Please print this form and mail it with your $100 payment.

Indicate below the forum you will be attending:

_____ Washington, D.C.—September 14, 1999

Sheraton Crystal City, 1800 Jefferson Davis Highway
Arlington, VA
(703) 486-1111

_____ Houston, TX—September 15, 1999

Sheraton North Houston, George Bush Intercontinental Airport
15700 John F. Kennedy Blvd.
Houston, TX
(281) 442-5100

_____ Costa Mesa, CA—September 16, 1999

Westin South Coast Plaza, 686 Anton Blvd.
Costa Mesa, CA
(714) 540-2500

Name

  

                                 Last                                                 First                                                MI

Title

  

Company

  

Address

  
 
                                City                                                State                                    Zip Code

Phone

 (     )

Fax

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E-mail

  

Registration fee is $100.
Preregistration is required.
Registrations accepted with fee through the mail on a first come basis.
Please make checks payable to the MSRB and send to:
MUNICIPAL SECURITIES RULEMAKING BOARD
ATTENTION: PAT MACK
1150 18TH STREET, NW, SUITE 400
WASHINGTON, DC 20036-3816

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