CPE Registration Form
To be used for registrations submitted
via mail with payment ONLY!

(This form accommodates multiple registrants.)

The form below is provided for those who prefer completing a registration form, printing the form, and submitting it by mail. Course registration must include payment.

We encourage you to view the course catalog online and use the Web site shopping cart for course registrations.

Firm/Company
Address
City/State/Zip+4
Phone
Fax
Registrant #1
Name
E-mail Address
After hours phone #
(for emergency purposes)
Please indicate how you wish to receive your
course confirmation(s)		  Mail         E-mail
ISCPA Member
Other State Society Member 
AICPA Member    AICPA (Individual) Member #
Non-Member
Special Services   (please describe)
CE Credit needed for:  Iowa CLE  Iowa Insurance CE  CFP
(If course is approved for CE Credit in its respective area–ISCPA requires advance notification in order to notify the appropriate regulatory agency.)

Course #1
Course Acronym or Title

Course Date
Course Fee

Course #2
Course Acronym or Title
Course Date
Course Fee

Course #3
Course Acronym or Title
Course Date
Course Fee
Registrant #2
Name
E-mail Address
After hours phone #
(for emergency purposes)
Please indicate how you wish to receive your
course confirmation(s)		 Mail  E-mail
ISCPA Member
Other State Society Member 
AICPA Member    AICPA (Individual) Member #
Non-Member
Special Services   (please describe)
CE Credit needed for:  Iowa CLE  Iowa Insurance CE  CFP
(If course is approved for CE Credit in its respective area–ISCPA requires advance notification in order to notify the appropriate regulatory agency.)

Course #1
Course Acronym or Title

Course Date
Course Fee

Course #2
Course Acronym or Title
Course Date
Course Fee

Course #3
Course Acronym or Title
Course Date
Course Fee
Registrant #3
Name
E-mail Address
After hours phone #
(for emergency purposes)
Please indicate how you wish to receive your
course confirmation(s)		 Mail  E-mail
ISCPA Member
Other State Society Member 
AICPA Member    AICPA (Individual) Member #
Non-Member
Special Services   (please describe)
CE Credit needed for:  Iowa CLE  Iowa Insurance CE  CFP
(If course is approved for CE Credit in its respective area–ISCPA requires advance notification in order to notify the appropriate regulatory agency.)

Course #1
Course Acronym or Title

Course Date
Course Fee

Course #2
Course Acronym or Title
Course Date
Course Fee

Course #3
Course Acronym or Title
Course Date
Course Fee

All Contents ©Copyright 1997- ISCPA.
 All Rights Reserved.

The Iowa Society of Certified Public Accountants represents more than 4,500 CPAs employed in public accounting, business, industry, government, not-for-profit organizations, and education.

Terms and Conditions of Use

Iowa Society of Certified Public Accountants
950 Office Park Rd., Suite 300
West Des Moines, IA 50265-2548
Phone: 515-223-8161
Toll-free in Iowa: 800-659-6375
Fax: 515-223-7347

Email:  iacpa@iacpa.org