Meeting Registration Form - Instructions

Please complete this form to submit your registration electronically. Upon completion of this form, you will be directed to the Shopping Cart section for credit card processing. Registration forms that are submitted without Visa or MasterCard payment will not be processed.

Attendee Information

Name *
Your Name on Badge *
Company
Address *
 
City/State/Zip *
Country (If Not U.S.)
Phone *
Email *

Is this your first time attending the EA Meeting?
Yes
No

Attendee Special Meal Request

Please indicate any special meal requirements.

  Monday Tuesday
N/A
Kosher
Vegetarian

 

Session Preference Form

Please indicate the session you would like to attend by entering the three-digit session number for the appropriate selection. You will be given your first choice where space is available.

Monday, March 26, 2012
Session 001  
9:00 AM - 10:30 AM
   
Sessions 101 - 108  
11:00 AM - 12:30 PM
First Choice
 Second Choice Third Choice
Sessions 201- 208  
2:30 PM - 4:00 PM
First Choice
 Second Choice Third Choice
Sessions 301 - 308  
4:30 PM - 5:45 PM
First Choice
 Second Choice Third Choice
Tuesday, March 27, 2012
Session 002  
8:45 AM - 10:30 AM
   
Sessions 401 - 408  
11:00 AM - 12:30 PM
First Choice
 Second Choice Third Choice
Sessions 501 - 507  
2:00 PM - 3:30 PM
First Choice
 Second Choice Third Choice
Sessions 601 - 607  
4:00 PM - 5:30 PM
First Choice
 Second Choice Third Choice
Wednesday, March 28, 2012
Sessions 701 - 707  
8:00 AM - 9:15 AM
First Choice
 Second Choice Third Choice
Sessions 801 - 807  
9:45 AM - 11:00 AM
First Choice
 Second Choice Third Choice
Session 003  
11:15 AM - 12:45 PM
   

 

Americans With Disabilities Act Requirements

The sponsors operate the Enrolled Actuaries Meeting in compliance with the requirements of the Americans With Disabilities Act. If you are disabled and require any accommodations to participate in the meeting, please state the accommodations that you require below:

After clicking the "Submit" button, you will be guided to a Shopping Cart
and credit card processing form.

Add items to the Shopping Cart and click on Checkout
(located at the top-right-hand side of the page)
to pay for your registration.

 
 Enrolled Actuaries Meeting
c/o Conference of Consulting Actuaries
3880 Salem Lake Drive, Suite H / Long Grove, IL 60047-5292
Phone: 847-719-6500     Fax: 847-719-6506
E-mail: webmaster@enrolledactuaries.org

The Enrolled Actuaries Meeting is jointly sponsored by the American Academy of Actuaries and the Conference of Consulting Actuaries
in cooperation with the Society of Actuaries.

© 2011 Conference of Consulting Actuaries.  All rights reserved.