ATLANTIC CLAIM EXECUTIVES ASSOCIATION FALL WORKSHOP

October 9 – 11, 2016

Omni Hotel and Resorts

Hilton Head, SC

CONFERENCE REGISTRATION FORM

Register on line at www.atlanticclaimexecutives.comor complete this form and return with meeting fees to:

ACEA

c/o Joyce Slawiak

3547 Mill Springs Rd

Birmingham AL 35223

Make check payable to: Atlantic Claim Executives Association

Seminar and hotel registration deadline is September 8, 2016

Please indicate ACEA Affiliation and Registration Fee:

·  ____ACEA Member/Associate Member $300

·  ____Life Member $0

·  ____Prospective Member * $0

·  ____Guest ** of above $100

·  ____Conference Presenter $0

·  ____Sponsor/Not Eligible for $400

Membership

·  ____Guest** of Sponsor $150

Amount of Registration fees Paid $______

Name______

Preferred name for Badge______

Job Title______

Company______

Company Address______

Phone______Email______

Guest Name (Preferred name for Badge) ______

*Fee for Prospective Member applies to first time attendees only. Limited number available

**Guest of an attendee who is employed by the same company as the attendee must pay the applicable attendee registration fee.

Admission to the meetings, meals, and functions will be restricted to those who have paid the fee and are identified by their nametag. These fees apply whether you attend one function or all. Registration refunds will be returned if cancelled 14 days prior to arrival. Sorry, no refunds will be made after that date.

ATLANTIC CLAIM EXECUTIVES ASSOCIATION FALL WORKSHOP

October 9 – 11, 2016

Omni Hotel and Resorts

Hilton Head, SC

CONFERENCE REGISTRATION FORM

Activity Selection

Will you be attending the President’s Reception on Sunday evening?

Yes Registrant Yes Registrant and Guest No

Will you be attending the Members and Guest Breakfast Buffet Monday morning?

Yes Registrant Yes Registrant and Guest No

Will you be attending the Monday luncheon?

Yes Registrant Yes Registrant and Guest No

Will you be attending the Monday evening Cocktail reception?

Yes Registrant Yes Registrant and Guest No

Will you be attending the Members and Guest Breakfast Tuesday morning?

Yes Registrant Yes Registrant and Guest No

ATLANTIC CLAIM EXECUTIVES ASSOCIATION FALL WORKSHOP

October 9 – 11, 2016

Omni Hotel and Resorts

Hilton Head, SC

Hotel reservations should be made directly with the Omni Hotel and Resorts through the website or by calling the hotel at 888-444-6664.

Use this link to take advantage of the preferred rates listed below:

https://www.omnihotels.com/hotels/hilton-head/meetings/atlantic-claims-executives-association

If registration is made by phone, be sure to reference Hilton Head and the Atlantic Claim Executives Association for group rates. The Group code is 100516ATLANTICC.

Note that the reservation deadline for our group rates is Sept 8, 2016. The following rates are guaranteed prior to that date for Sunday and Monday, October 9 – 10.

Rates will also apply 3 days prior and after the meeting based on availability.

Island View Studio Suite $159.00 single or double occupancy
Courtyard View Studio Suite $179.00 single or double occupancy
Ocean View Studio Suite $199.00 single or double occupancy

There is a Resort Services Fee of $18.00 per night plus tax. The Fee includes:
Complimentary Self- Parking
Unlimited Internet access in all rooms
Resort transportation service within 3 mile radius
Unlimited use of Health & Fitness Center
In room coffee service
Local and Toll Free Phone Access
Resort beach access
Preferred reservation access to Ocean Tide Spa

Limited group rate rooms are available