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REGISTRATION FORM
Name:
Title:
Company:
Line(s) of
Business:
Primary job
Responsibility:
Address:
City:    State:    Zip:
Telephone:    Fax:
E-mail:
Payment Method: PayPal Online   Check by Mail   Credit Card by Mail  
First Name
for Badge:
Special accommodations requested: (to remain confidential)
Select Breakout Session #1: Introduction to SERFF
Senior Markets - Designations/Advertising
The Consumer Friendly Approach to Communication
FINRA's Variable Insurance Product Advertising Initiative
Undecided

Select Breakout Session #2: SERFF - Tips and Tricks for the Experienced User
The Art of Diplomacy between Compliance and Marketing
Foreign Language Advertising - Hispanic
Hands On Review
Undecided

Select Breakout Session #3: Fundamentals of Compliance
Message Center Demo
Foreign Language Advertising - Hispanic
Hands On Review
Undecided

Please list questions you have for the Illinois or Nebraska Departments of Insurance.
Please list questions you have for other presenters.
There will be a general question-and-answer session on Friday morning.
List question(s) you would like to submit for discussion.
IAdCA places various promotional items with the registration materials for all attendees and, in addition, after the conference is over IAdCA conducts a drawing for various prizes.
Would you or your company like to contribute any items? YES NO

Number of people attending:    
Will this registration be submitted before March 3, 2008?
Registration Fees:
  • Before March 3, 2008 - $450
  • On or after March 3, 2008 - $500
  • Multiple Registrations Discount: When 2 or more individuals from the same company register, the fee can be reduced $50 per person. Please include all names under "Registering with" on the form. Registrations must be submitted together to receive the reduced rate. Please Note: IAdCA cannot apply the multiple attendee rate for registrations submitted separately from the same company. Please include all names on the remittance check, if paying by check. Please fax or mail multiple registrations together in order to receive the reduced rate.
Cancellation policy:
  • Before March 21, 2008 - Refund.
  • On or after March 21, 2008 - No refund.
Conference registration and hotel reservations made after March 12, 2008 will be on a space- and room-rate availability basis only.






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