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
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 firstname.lastname@example.org.
Seminar Registration Fees
Includes any seminar materials, continental breakfasts, luncheon, refreshment breaks, and receptions.
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):
__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