Conferences

* Indicates Required Fields

After submitting your registration you will have the option to pay with MasterCard or Visa, or select that you would like to mail us a check.

For your privacy & security, your entries will be transmitted to us using an encrypted secure connection.

Travel Waiver: All parties agree to the terms of the travel waiver. View travel waiver.

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 :

City:

State or Province:

Zip:

Telephone:

Fax:

Contact E-mail:

Discount Code:

Registration fees will be charged as follows:

Conference Registration	Participant	Spouse / Guest

Conference Options
Optional Riverboat Cruise - Adult Ticket $75	$75.0 (each)
Optional Riverboat Cruise - Child 5 -12 $50	$50.0 (each)

First Name:

Last Name:

Cell Phone:

Title at Credit Union:

Which best describes your position:

Nickname for Nametag (First Name Only):

Participant E-mail:

Optional Riverboat Cruise - Adult Ticket $75

Optional Riverboat Cruise - Child 5 -12 $50

Only fill this section out if your guest is going to participate in the guest program.
(Guest Fee Will Be Added)

If your guest is NOT going to participate in the guest program, you do NOT need to fill out this section.

Guest First Name:

Guest Last Name:

Nickname: