Conference Center at Penn State Great Valley

CAMAR 2017Spring Meeting

May 25, 2017

Conference Center at Penn State Great Valley

30 East Swedesford Road ~ Malvern, PA 19355

Three Ways to Register:

Online: For quick and convenient registration and payment please visit / Credit Card via Fax*: Complete and return form to 703-276-3108 / Mail: Send complete form and payment to:
Casualty Actuarial Society, C/O CAMAR
P.O. Box 425
Merrifield, VA 22116-0425
Make checks payable to the Casualty Actuarial Society.
*If you fax this registration form in with credit card information, please do not mail the original form as well – this may cause a duplicate charge to your credit card.
All credit card payments will be processed in U.S. dollars.
1. REGISTRATION INFORMATION:
Name:______Badge Name: ______
Company: ______
Address: ______
City/State/Zip/Country:______
Business Phone: ______
Email Address: ______
Attending Reception after Meeting_____ / 2. STATUS:
□ FCAS/ ACAS
□ Candidate
□ Other
3. DIETARY:
□ Vegetarian
□ Kosher
□ Fruit Plate
□ Vegan
□ Gluten Free
□ Other
4. ADDITIONAL REGISTRANTS(Include Status, and Dietary Restrictions for each person below):
NAME: / STATUS: / DIETARY: / RECEPTION:
5. REGISTRATION FEES
(in U.S. Dollars) / Received on/before May 11, 2017 / Received after
May 11, 2017 / Number of Attendees / Total Due
Base Registration Fee / $140 / $160
College Student / $ 10 / $ 10
Retired Actuary and College Professor Rate / $ 75 / $ 75
Speakers / Fee waived / Fee waived
6. Payment method: □ Check □ Credit Card
Type of Card: □ MasterCard □ VISA □ AMEX
Account Number: ______Exp. Date: ______(month/year)
Cardholder's Name: ______
Credit Card Billing Address: ______
Signature:
REFUND POLICY:
Because expenses are fixed in advance and determined on the basis of the number of registrants, CAMAR cannot issue refunds after the fact for registrants who were unable to come to the meeting. You are welcome to send a substitute if you cannot attend. We will issue full refunds for advance cancellations received by May 11, 2017.
Refunds/cancellations should be sent in writing to the CAS Office, , by May 11, 2017.