FIRMA^™

The Fiduciary & Investment Risk Management Association, Inc.

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Conference Registration

You are registering for:
FIRMA National Risk Management Training Conference
Fort Worth, TX
March 25 - 29, 2012

Registration Instructions
Please fill out the form below. When you submit this form, you will be asked to confirm your registration information. After you have confirmed your registration details, if you have chosen to use a credit card, you will be redirected to our secure server to enter your credit card information.

REGISTRATION DETAILS
* denotes required fields

Membership:

FIRMA Non-member
Discounts are available for groups of 5 and 10 attendees. For details, please contact Amy Caple at the FIRMA Office -- (678) 565-6211 or amy@thefirma.org

Are You a Regulator:

YES

Which Events Will You Attend? (please check boxes)

Conference - $1595.00 ($1395.00 FIRMA members)
Pre-Conference Workshop - $250.00 ($175.00 members)
Which Seminar:
In-Conference Seminar - $200.00 ($125.00 members)
Vendor Showcase (no charge; pre-registration required)

Conference Handouts:

All Conference attendees will receive a CD that contains the conference materials, speaker outlines, and handouts.

Mr./Ms. Full Name:

Name for Badge:

Title:

Bank/Organization:

Address:

City:

* State: * Zip: *

Phone:

Fax:

Email Address:

How Did You Hear About This Conference?:

Other:

What Is Your Organization's Profile?:

Please Tell Us About Your Responsibilities:

Other:

Please Tell Us About Your Job Function:

Other:

Payment Type:

Visa/MC/Amex/Discover Please Invoice

FIRMA™

Conference Registration

FIRMA^™