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: