Please print or type clearly.
Name___________________________________________________________
Name as it should appear on badge____________________________________
Company_________________________________________________________
Address__________________________________________________________
City________________________________State_______Zip________________
Business telephone__________________________________________________
Fax_____________________________________________________________
__Please check here if you have any special requirements due to disability
__Dietary Restrictions________________________________________________
Please indicate which applies:
__ FCAS__ ACAS__ CAS Student __ CAS Subscriber __ ARIA Member __ ARIA Student __ Non-Member
Note

Registration fees will be refunded for cancellations received by March 26, 1999 to the CAS Office, less a $50 processing fee. Only written cancellations will be honored. Faxed cancellation requests will be accepted by fax at (703) 276-3108 or via e-mail to kpeterson@casact.org.

Seminar Registration Fees Includes any seminar materials, continental breakfasts, luncheon, refreshment breaks, and receptions.   CAS/ARIA Members, Active Candidates, Subscibers Non-Members Received on or before March 19 $500 ($767 Canadian) $600 ($920 Canadian) Received after March 19 $550 ($843 Canadian) $650 ($996 Canadian) Panelist/Moderator $250 ($385 Canadian) Fee Waived

Method of Payment

__Check enclosed for the amount $_____________

__Credit card (please check one): __VISA__MasterCard__Discover __American Express__Diners Club

Card Number_______________________________________________

Expiration Date______________________________________________

Cardholder's Name___________________________________________

Billing Address_______________________________________________

Signature__________________________________________________

(Credit card payments 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 it to: Casualty Actuarial Society, 1100 N. Glebe Road, Suite 600, Arlington, VA 22201-4714; or fax to (703) 276-3108.

---

Back to the 1999 Seminar on Financial Risk Management brochure