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Registration Form

Insurance Regulatory Examiners Society

2004 Career Development Seminar

Aug. 15-17, Denver Marriott City Center


Fill out this form and mail it with your check to the Insurance Regulatory Examiners Society at 12730 Pflumm, Suite 102, Olathe, Kansas 66062, or else call or E-mail the office first.

Name (including designations):

Title:

First name for badge:

Insurance department or organization:

Address:
Home:    Business:

Phone:

Amount enclosed:

Seating for all CDS events is limited.

IRES reserves the right to decline registration for late registrants due to seating limitations.
 

Seminar Fees

Includes lunch, continental breakfast and coffee breaks.

IRES regulator member $285   
If you register after July 15, add $40.

No registration is guaranteed until payment is received by IRES. So if you fax in this form, be sure to follow it with a check.
Industry Sustaining Member $460
Non-member regulator $410
Retired IRES member $110
Industry, non-sustaining member $710
Spouse/guest $80

Hotel Rooms

You must book your hotel room directly with the Marriott City Center. The room rate for IRES attendees is $150 per night for a single or double room. Please call group reservations at 303-297-1300.

The IRES convention rate is available until July 15, 2004, and as space-available thereafter. Call the IRES office if you have any questions. Our room block often sells out by early June, so you're advised to call early to book rooms.

The IRES group rate applies to all standard rooms, regardless of view or location of the room. If the hotel reservations center inadvertently charges you a higher room rate, please notify IRES and provide us your name and confirmation number. (If you book any rooms other than standard rooms, such as a suite, you will be required to pay the hotel's prevailing rate for those rooms.)

Cancellations & Refunds

Your registration fee minus a $25 cancellation fee can be refunded if we receive written notice before July 15, 2004. No refunds will be given after that date – although your registration fee may be transferred to another qualifying registrant. Refund checks will be processed after Sept. 1, 2004.

Special Needs

If you have special needs please notify IRES at 913-768-4700 at least five working days before the seminar. The hotel's facilities comply with all requirements of the Americans with Disabiliies Act.

If you have special dietary needs, please indicate that below:
Diabetic
Kosher
Low Salt
Vegetarian
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