1999 Seminar on Financial Risk Management
Registration Form

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.


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