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Office Use Only Date Received: __________ web Post-NAIC Update/PBA Webinar (Principle-Based Update #26: An Update on the Life Practice Council’s Principles-Based Initiative) April 23, 2013 Noon - 1:30 P.M. Eastern Name (Circle one: Mr./Ms.) Job Title Employer Address City State Zip Code Telephone E-mail Address* * Registration confirmation, including log-in instructions to access the webinar, will be sent to this e-mail address. Registration Fee †Members $160 †Non-Members $200 Method of Payment † Visa † MasterCard † American Express † Check Enclosed (payable to American Academy of Actuaries) Credit Card Number Exp. Date (MM/YY) Security Code Full Name (as it appears on the credit card if different from above) Mail completed registration form and Credit Card Billing Address (if different from above) payment information (or check) to: City State Signature

Academy Webinar: Post-NAIC Update/PBA Webinar Attention: Joanne Anderson American Academy of Actuaries 1850 M Street NW, Suite 300 Washington, DC 20036

Zip Code

1850 M Street NW

Suite 300

Washington, DC 20036

Telephone 202 223 8196

Facsimile 202 872 1948