Convention Package Registration June 16 — 18, 2010
Registrant Information
Credit Union CEO CU Executives & Staff Board Chair Board Member Guest Registration Form Is for ONE PERSON. Instructions for Multiple Registrations & Guests Registrant Name: _________________________________________________________________
Title: __________________________________________________________________________ Email Address: __________________________________________________________________ Credit Union: ____________________________________________________________________ Address: _______________________________________________________________________ City: __________________________________________________________________________ State: _________________ Zip: ___________ Phone: __________________ Extension: ______ Contact Person: __________________________________________________________________ Title: ______________________________ Email Address: _______________________________ (Check all that apply.)
If you are completing multiple registrations, complete the entire Registrant Information section for the first registration form; all subsequent registration forms only need the first 4 lines completed with all boxes checked that apply to each individual.
Conference Discount Package for Attendees
$595
Conference Discount Package for Guests
$255
Conference Registration for Attendees
$535
Conference Registration for Guests
$195
Leadership Council Workshops Chief Financial Officer (CFO) Marketing & Business Development (M&BD)
$195
Includes Education Sessions, General Session, Continental Breakfast, All Exhibit Hall Sessions, & Dinner/Dance/Silent Auction For registration before April 30, 2010. Includes Education Sessions, General Session, Continental Breakfast, All Exhibit Hall Sessions, & Dinner/Dance/Silent Auction For registration before April 30, 2010 Includes Education Sessions, General Session, Continental Breakfast, & All Exhibit Hall Sessions Includes Education Sessions, General Session, Continental Breakfast, & All Exhibit Hall Sessions
Director’s Institute A - Board Reports (V411) D - Bank Secrecy Act for Volunteers (V426)
HR Training & Development (HR/T&D) Operations, Sales, & Service (OSS)
Lending (LEN) Technology (TECH) $75
B - Online Policies & Internet Use (V601) E - Managing Risk for Volunteers (V03)
C - Political Involvement (V421) F - Planning (V102)
CUES Breakfast
$50
Winter Park Garden Cultural Tour (Includes Lunch)
$100
Guest Session: Interactive Cooking with JW Chef Horner (Includes Lunch) Golf Tournament (Includes Continental Breakfast) Golf Alternative: Airboat Adventure
$65 $150
I would like to play with the following players: Player’s Name
Credit Union Name
Handicap/ Average Score
$95
Exhibit Hall Lunch
$40
Kid’s Zone
$45
Buffet Dinner, Dance & Silent Auction
$95
Dance & Silent Auction Only
$40
Total
$ ______________
Payment Information Three Easy Steps to Register for the 1st Annual Convention & Exposition
Pay By Check Pay By Credit Card
1. Carefully read, review, and complete this registration form.
VISA MasterCard
2. Make payment: Enclose a check payable to League of Southeastern Credit Unions or complete the credit card payment information for your MasterCard or VISA.
CREDIT CARD AUTHORIZATION
__________________________________________________________________ Credit Card Number Expiration Date __________________________________________________________________ Cardholder’s Billing Address __________________________________________________________________ City/State/Zip __________________________________________________________________ Print Name
__________________________________________________________________ 3. Mail this form along with Authorized Signature payment to: __________________________________________________________________ Convention 2010 V Number (three digit number found on back of card) League of Southeastern Credit Unions P.O. Box 3108 Tallahassee, Florida 32315-3108 The discount package pre-registration deadline is Friday, April 30, 2010. All registrations received after this date will be charged at the regular conference Or register online: package rate. Registrations received after Wedbesday, June 9, 2010, will be www.lscuconvention.com processed onsite at the Convention registration desk. All cancellations must be in writing and received by the League of Southeastern Credit Unions Questions? prior to May 28, 2010, will incur a $75 cancellation fee. No refunds will be Call the Education Department at issued for cancellations made on or after May 28, 2010, only substitutions. 800.342.1266, x1148 or email convention@lscu.coop.