Please print this form and mail to the address below.

_______________________________________________________________________________________
First Name                                                            Family Name

_______________________________________________________________________________________
First Name (as it should appear on badge)

_______________________________________________________________________________________
Company or University

_______________________________________________________________________________________
Address

_______________________________________________________________________________________
City                                                      Province/State                             

_______________________________________________________________________________________
Telephone                                             Fax

_______________________________________________________________________________________
E-mail Address                                            

_______________________________________________________________________________________
Last Name of Accompanying Person                                          First Name (as it should appear on badge)

Social Program

The meeting point for each event will be the Pennsylvania Avenue entrance on the Pennsylvania Avenue level of the JW Marriott Hotel.

Monday, July 9

8:45 a.m. - 4:00 p.m. Full-Day Tour for Accompanying Persons

Please choose either first or second tour.

____ Smithsonian's Finest

____ American Heritage

Cost is included in Accompanying Person's registration fee.

Tuesday, July 10

1:00 - 5:00 p.m. Half-Day Excursion with Boxed Lunch

Please choose either first or second tour.

____ The Splendor of Capitol Hill

____ Welcome to Washington

Cost is included in Delegate and Accompanying Person's registration fee.

I plan to attend the 32^nd ASTIN Colloquium ____ Yes ____ No

I plan to attend the CARe ____ Yes ____ No

Number of accompanying persons ____ 1 ____ 2 ____ 3

Are you a member of an academic or business institution? ____ Academic ____ Business

Please indicate which applies ____ FCAS ____ ACAS ____ Affiliate Member ____ Candidate ____ Subscriber
____ Academic Correspondent ____ Other Actuarial Association

Please send me additional CARe (July 11 and 12) information ____ Yes ____ No

____ Check here if you have any special requirement due to disability.

____ Dietary Restrictions

Cancellation Refund Policy

Fees will be refunded for cancellations received in writing at the CAS office on or before March 9, 2001, less 20 percent of the registration fee. After this date, no refunds will be made. Only written cancellations will be honored. Cancellation requests will be accepted by fax at (703) 276-3108 or via e-mail to dcarmenates@casact.org. >

Method of Payment

_____Check enclosed for $________ (made payable to Casualty Actuarial Society)

_____Charge my credit card for $________ (please check one):

_____Visa______MasterCard______American Express______Diners Club______Discover

All credit card payments will be charged in US dollars.

_______________________________________________________________________________________
Credit Card Number                                   Expiration date

_______________________________________________________________________________________
Cardholder’s name

_______________________________________________________________________________________
Billing address

_______________________________________________________________________________________
Signature (credit card payment will not be processed without a signature)

If paying by check, complete this form and return it with your check to: Casualty Actuarial Society, P.O. Box 425, Merrifield, VA 22116-0425.

If paying by credit card, complete this form and return to:
Casualty Actuarial Society, 1100 N. Glebe Road, Suite 600, Arlington, VA 22201-4798;
or fax to (703) 276-3108. All credit card payments will be processed in U.S. Dollars.

All credit card purchases will be processed in U.S. Dollars. If you fax in your registration with credit card information, please do not submit the original form as well. This may cause a duplicate charge to your credit card.

Cancellation Refund Policy

Fees will be refunded for cancellations received in writing at the CAS office on or before March 9, 2001, less 20 percent of the registration fee. After this date, no refunds will be made. Only written cancellations will be honored. Cancellation requests will be accepted by fax at (703) 276-3108 or via e-mail to dcarmenates@casact.org.

Registration Fees

	Received On or Before February 1, 2001	Received February 2- March 9, 2001	Received March 10-June 8, 2001
Delegate
ASTIN	$750	$800	$850
ASTIN & CARe	$1,000	$1,050	$1,100
Academic
ASTIN	$525	$550	$575
ASTIN & CARe	$600	$650	$700
Accompanying Person*
ASTIN	$500	$550	$600

* The registration fee for children under 3 years is free.

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