2017 NACM Credit Congress
Registration Form


Return form and payment to: Address questions to:

NACM Credit Congress NACM Meetings Department

8840 Columbia 100 Parkway 410-740-5560

Columbia, MD 21045-2158

Delegate Information

First Name or Nickname (for badge)
Full Name for Badge
(include professional designation)
Title
Company
(please provide complete name)
Mailing Address
(please include mail stop, floor, etc.)
City, State/Province, Zip/Postal Code
Country
Direct Telephone Number
E-mail Address
Spouse/Guest Name for Badge
(for those officially registering below)

Your e-mail address is used to communicate with you. By providing this information to NACM, you are giving your written permission
to receive news updates and announcements regarding events, special offers and other information. You may opt out at any time.

Your Local NACM Affiliated Association (ex.–NACM Southwest):

Describe any special needs, such as dietary or wheelchair access:

Please indicate your company’s primary industry:

If you selected ‘other’ above, please note your company’s primary industry:

Sic code, if known:

Conference Rates & Optional Event Costs

Special
By 12/1/16 / Early Bird
12/2/16 to 2/15/17 / Regular
After 2/15/17
NACM members* / $699 / $789 / $889 / $
Non-members* / $959 / $989 / $999 / $
Spouse/Guest*
(May not be a colleague) / $329 / $379 / $429 / $
Team discount* (5+ from same company registering at the same time) / $649 per person / $739 per person / $839 per person / $
Fees for all of the following are in addition to registration fee. / Quantity / Rate / Sub-totals
Optional Educational Sessions:
Business Credit Principles Certificate Course (Sat thru Wed) / Select one1 / $349 / $
Financial Statement Analysis 2: Credit & Risk Assessment
Certificate Course (Sat thru Wed) / Select one1 / $349 / $
CBA Exam Review Session (Sun, June 11) / Select one1 / $129 / $
CBF Exam Review Session (Sun, June 11) / Select one1 / $129 / $
CCE Exam Review (Sun, June 11 - includes box lunch) / Select one1 / $159 / $
Optional Luncheons & Events:
NACM Scholarship Foundation Golf Outing (Sun, June 11) / Select one1234 / $149 / $
International Utility Group (IUG) Luncheon (Mon, June 12) / Select one123 / $55 / $
FCIB’s Conversation Uncorked (Mon, June 12) / Select one123 / $49 / $
CFDD Luncheon (Tues, June 13) / Select one123 / $69 / $
Box Lunch (Wed, June 14) – Pre-order by May 19th / Select one123 / $20 / $
I am proud to support the NACM Scholarship Foundation. / $10 $25 $100 Other / $
Facilities Usage Feeë ~ Applicable only if you are not staying at the conference hotel. / $250 / $
Total (required for processing): (NACM Tax ID# 52-1972771) / $

Payment Information

Both the form and payment must be received for the registration to be processed. Fees may be paid with a check or credit card.

Check enclosed payable to NACM Credit Congress OR Charge the total amount I listed above on my:

Credit Card Type / Select card typeAmerican ExpressDiscover CardDiners ClubMasterCardVisa
Card Number & Expiration Date / /
CID #
Name (as it appears on card)
Cardholder’s Signature (required)

Refund and Cancellation Policy - NACM understands that unfortunate circumstances may sometimes affect your ability to attend an event. Should a request for a refund be necessary, please submit your request to the NACM Meetings Department in writing. For written requests received on or before April 28, 2017, full registration fees will be refunded, less a $50 processing fee. Between April 29, 2017 and May 5, 2017, 50% of the registration fee will be refunded. Due to the financial obligations incurred by the NACM Credit Congress, NO REFUNDS OR CREDITS are possible for cancellations received after May 5, 2017; however, replacements may be made at any time.

ëFacilities Usage Fee - We urge you to make your reservation at our conference hotel in order for NACM to maximize its meeting space, room block and help keep negotiated room rates as low as possible. If we do not occupy a sufficient amount of guest rooms during the conference, we will incur penalties and additional costs. Therefore, we urge all meeting participants to stay in the host hotel. Consequently, guests not staying at the Gaylord Texan in Grapevine during the conference will be charged a Facilities Usage Fee, a flat $250 fee, to offset penalties and fees. Please note: If your residential address is within 30 miles of the Gaylord Texan, you are exempt from the Facilities Usage Fee.

2017 NACM Credit Congress Registration Form - Page 2