Conferences

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Credit Union Information
Credit Union Name:*
Asset Size:*	(I.E. 60 Million = 60,000,000, 150 Million = 150,000,000, 1 Billion = 1,000,000,000)
How Did You Hear About This Conference?*
Contact Name:*
Address (no PO boxes please) :*
City:*
State or Province:*
Zip:*
Telephone:*
Fax:
Contact E-mail:*
I have read and understand the terms and conditions
Conference / Cabin Information
First and Last Name (example: Bob Jones): *
Full name as listed on passport (example: Robert A. Jones):
Please Specify Citizenship (Example: U.S., Canadian):*
Title: *
Which best describes your position:*
Nickname for Nametag (First Name Only):*
Date of birth:*
Sharing Cabin With:
First Name: (e.g. Bob)
Last Name: (e.g. Jones)
Full Name (as listed on passport): (e.g. Robert A Jones)
Nickname:
Citizenship:
Date of birth:
First Name: (e.g. Bob)
Last Name: (e.g. Jones)
Full Name (as listed on passport): (e.g. Robert A Jones)
Nickname:
Citizenship:
Date of birth:
First Name: (e.g. Bob)
Last Name: (e.g. Jones)
Full Name (as listed on passport): (e.g. Robert A Jones)
Nickname:
Citizenship:
Date of birth:
Participant / Cruise Information:
Home Address:*
City:*
State:*
Zip:*
Participant E-mail:*
Home Phone Number:*
First Cabin Category Request:*
Second Cabin Category Request:*
Include Air quote on your invoice?	Yes No
If Air quote desired, what is your gateway city?
Special Requests: (e.g. Seat us with, Queen or Twin beds, celebrations...)
Dining Selection As Listed In The Brochure:

Credit Union Information

Conference / Cabin Information

Sharing Cabin With:

Participant / Cruise Information: