IREM Course Registration Form

1 Course Registration form 1. Contact Information - Please Print 2. IREM Member Discount 3. Classroom Location 4. Payment Method (Classroom or Online)Name_____First Name for Course Badge_____Company_____Street Address_____City_____ State_____ Zip_____Day Phone_____ Cell/Evening Phone_____E-mail_____ Fax_____ Check here if the above information should be your preferred IREM mailing address If you are already an IREM Member.

2 Please select your membership type CPM Member AMO Firm Employee CPM Candidate Associate Member ARM Member Academic Member ACoM Member Student MemberIREM ID NumberPlease send me the following membership applications Academic Member ARM ACoM Student Member AMO Membership applications can also be downloaded at you require special accommodations in accordance with the ADA regulations, contact us at or 312-329-6042 Check or money order (Payable to IREM ) Visa MasterCard American Express DiscoverCard Number_____Corporate Card ID Number_____Card Expiration Date_____ CCV_____Cardholder s Name_____Cardholder s Billing Address_____City_____ State_____ Zip_____Signature_____ Date_____TotalWays to Register.

3 Online/Email Mail Phone Fax IREM (800) 837-0706, ext 4650 (800) 338-4736 430 N. Michigan Ave. Mon-Fri, 7:30am-5pm CST Chicago, IL 60611-4090 Outside the call: +1-312-329-6000 Special Course Notes: If registering for the MPSA, please select a property type below: Conventional Apartment Retail strip shopping center Office Building6.

4 Course Format/Location Date Tuition 5. Referring ChapterWere you referred by an IREM Chapter? Ye s NoList Chapter Name _____Click here to learn about our Course cancellation policy