2015 GRI - Unlock Your Potential
Embassy Suites - East Peoria
December 2 - December 3, 2015

CONFIRMATION: Once your registration has been successfully submitted, you will receive a confirmation page that you should print for your records and bring with you to the event check-in. You will receive a confirmation e-mail from IAR shortly. If you do not see an online confirmation page once you click the "Submit" button on the "verify registration" page, or if you receive an error message once you click "Submit", then your registration was not successfully submitted. In this case or if you have any questions regarding your registration, please contact the IAR Registrar at 1-800-252-2910.
First Name: 
Last Name: 
Name on Badge: 
Real Estate License Number: 
Name of Business Firm: 
Business Address: 
Zip Code: 
Work Phone:  () - 
Home Phone:  () - 
E-mail Address: 
Confirm E-mail Address: 
Local Board of REALTORS®
I am a(n): 
REGISTRATION -- Show Fee Schedule

Card Type: 
Card Number: 
Card ID Number: 
  The Customer Identification Number is the last 3 digits in the signature block on the back of your credit card. On American Express cards, it's the 4-digit, non-embossed number on the front of the card above your credit card number. We are requesting it as an added security precaution. View Example
Expiration Date:  /
It is the desire of IAR to make this event as rewarding as possible. Please advise us of any special accommodations, including dietary requests, seating, provision of auxiliary aids and services, etc. here:
Special Accommodations: 
By registering, I understand that still or motion pictures may be taken of me while attending the IAR event and give permission for images of me to be used to promote IAR events. Such images will remain the property of the Illinois Association of REALTORS®.
Step 2 of the registration process will provide you with a summary of your selections and calculate the cost.  Your credit card will not be charged until you have verified the information.