EmailMe Form - Registration Payment Verification

Name

First Last

Email

Registration Confirmation #

For Purchase Orders

Please select one:

I am attaching a copy of my purchase order and the payment is in process. *

I am attaching a copy of my purchase order but payment will not be issued until after the event.

* If you need to submit an invoice with your purchase order please use your registration confirmation, showing balance due, as your invoice.

Upload Purchase Order

For Checks

Please enter the date the check was issued:

MM / DD / YYYY

Upload Copy of Check

For Credit Cards

Please check:

I do not have a purchase order/check to submit as proof of payment for the balance due on my National Conference registration and need to submit a credit card to keep on file. *

*I acknowledge that it is my responsibility to ensure my employer has paid the balance, or my credit card will be charged on November 20, 2023. AASL recommends that you, or your accounting department, submit a copy of the check through this form when issued in case delays in mail and processing could push receipt of payment past November 20.

Upload Photo of Back of Credit Card

Upload Photo of Front of Credit Card