ATLANTIC CLAIM EXECUTIVES ASSOCIATION SPRING CONFERENCE

April 15-17, 2018

Hollywood Beach Marriott

Hollywood, FL

CONFERENCE REGISTRATION FORM

Register on line at www.atlanticclaimexecutives.comor complete this form and return with meeting fees to:

ACEA

c/o Joyce Slawiak

3547 Mill Springs Rd

Birmingham AL 35223

Make check payable to: Atlantic Claim Executives Association

Seminar and hotel registration deadline is March 21, 2018

Please indicate ACEA Affiliation and Registration Fee:

·  $350 ____ACEA Member/Associate Member

·  $0 ____Life Member

·  $0 ____Prospective Member *

·  $150 ____Guest ** of Member/Associate Member/Life Member

·  $0 ____Conference Presenter

·  $550 ____Non-Member

·  $450 ____Non-Member with Sponsorship

·  $200 ____Guest** of Non-Member

Amount of Registration fees included $______

Name______

Preferred name for Badge______

Job Title______

Company______

Company Address______

Phone______Email______

Guest Name (Preferred name for Badge) ______

*Fee for Prospective Member applies to first time attendees only. Limited number available

**Guest of an attendee who is employed by the same company as the attendee must pay the applicable attendee registration fee.

Admission to the meetings, meals, and functions will be restricted to those who have paid the fee and are identified by their nametag. These fees apply whether you attend one function or all. Registration refunds will be returned if cancelled 14 days prior to arrival. Sorry, no refunds will be made after that date.

ATLANTIC CLAIM EXECUTIVES ASSOCIATION SPRING CONFERENCE

April 15-17, 2018

Hollywood Beach Marriott

Hollywood, FL

CONFERENCE REGISTRATION FORM

Activity Selection

Please indicate if you and your guest (one or both) will be attending each of the following events during the conference. Note that participation in the Golf outing will require a separate Registration form.

President’s Reception on Sunday evening?

____Registrant

____Guest

Members and Guest Breakfast Monday morning?

____Registrant

____Guest

Monday evening Cocktail reception?

____Registrant

____Guest

Members and Guest Breakfast Tuesday morning?

____Registrant

____Guest

ACEA Business Meeting Tuesday morning ( ACEA Members only)

____Registrant (member)

Awards Dinner Tuesday evening

____Registrant

____Guest

ATLANTIC CLAIM EXECUTIVES ASSOCIATION SPRING CONFERENCE

April 15-17, 2018

Hollywood Beach Marriott

Hollywood, FL

Hotel reservations should be made individually directly with the Hollywood Beach Marriott through their registration line: 855-314-1984. Refer to “ACEA Spring 2018 Conference” in April 2018 to use our preferred rates. You can also register at the Hotel’s website via this link

http://www.marriott.com/meeting-event-hotels/group-corporate-travel/groupCorp.mi?resLinkData=ACEA%20Spring%202018%20Conference%5Efllof%60ascasca%60199.00%60USD%60false%604%604/11/18%604/21/18%603/14/18&app=resvlink&stop_mobi=yes

View the Resort’s full Website here:

http://www.marriott.com/hotels/travel/fllof-hollywood-beach-marriott/

Note that the reservation deadline for our group rates is 5PM on March 21, 2018. The preferred room rate of $199 per night is guaranteed for all reservation made prior to that date for Saturday through Tuesday, April 14-17. Rates will also apply 3 days prior and after the meeting based on availability.

The Destination Amenities fee (usually $20) has been waived by the Hotel for our group.

Our contract also includes:

Free overnight self-parking

Reduced overnight valet parking fee ($10/night)

Free wi-fi in all guest rooms and public areas

Reservations must be cancelled directly with the Hotel seventy-two hours (72) in advance to avoid a one night room and tax charge.

Reserve Early ---Limited group rate rooms are available