Name _______________________________________

Company ____________________________________

Mailing Address _______________________________

City/State/Zip _________________________________

Business Phone _______________________________

Fax Phone ____________________________________

E-mail Address ________________________________

Social Security Number __________________________

SEMINAR FEE                   $145.00

Please make your check payable to:

Iowa Chapter of the Appraisal Institute

and return to:

Wayne Hennessey, Executive Secretary

4287 Panorama Drive       Panora, IA 50216

Or FAX: 641-439-2349

Cancellation Policy: Registration deadline is November 1, 2000. Fees will be refunded in full up to 14 days prior to the meeting. Cancellations received within the 14-day limit, but prior to 48 hours before a meeting shall be refunded at a rate of 50 percent of fee charged. No refund shall be payable for cancellations received within 48 hours of the meeting.