2017 Conference Registration

Register One to Five People using this 2017 Conference Registration Form and Pay with your Credit Card

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The best way to complete this form is by first selecting the number of people registering!
CFESA Member pricing = $775 per person
Non-CFESA Member price = $1000 per person
There is a $100 discount when three or more people from one company register.
The Member Price for the third person is $675
The Non-Member price for the third person is $900.
A Full Registration Fee includes Conference Seminars, Opening Dinner, Awards Banquet and President's Reception.

First & Last Name of Attendee 1 as it will appear on your badge
Company Name as it will appear on your badge
Country ex. USA, Canada, Mexico, Peru, etc.
Please choose one committee
Phone Number for Attendee One
(45 years of age or younger)
First & Last Name of Attendee Two as it will appear on your badge
A Full Registration Fee includes Conference Seminars, Opening Dinner, Awards Banquet and President's Reception.
(45 years of age or younger)
First & Last Name of Attendee 3 as it will appear on your badge
A Full Registration Fee includes Conference Seminars, Opening Dinner, Awards Banquet and President's Reception.
(45 years of age or younger)
First & Last Name of Attendee Four as it will appear on your badge
Phone Number for Attendee Four
A Full Registration Fee includes Conference Seminars, Opening Dinner, Awards Banquet and President's Reception.
(45 years of age or younger)
First & Last Name of Attendee Four as it will appear on your badge
Phone Number for Attendee Four
A Full Registration Fee includes Conference Seminars, Opening Dinner, Awards Banquet and President's Reception.
Please describe why you do not want to participate in a committee.
(45 years of age or younger)

Total:

First Name
Last Name on Card
Two Digit Card Expiration Month (Ex. January = 01)
Two Digit Expiration Year (Ex. 2019 = 19)