2018 NACM Credit Congress
Registration Form


Return form and payment to:Address questions to:

NACM Credit CongressNACM Meetings Department

8840 Columbia 100 Parkway410-740-5560

Columbia, MD

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:

Conference Rates & Optional Event Costs

Special
By 12/8/17 / Early Bird
12/9/17 to 2/16/18 / Regular
After 2/16/18
NACM members* / $699 / $799 / $899 / $
Non-members* / $969 / $999 / $1,019 / $
Spouse/Guest*
(May not be a colleague) / $339 / $389 / $439 / $
Team discount*
(5+ from same company registering at the same time) / $659 per person / $749 per person / $849 per person / $
Fees for the following are in addition to the 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 10) / Select one1 / $129 / $
CBF Exam Review Session(Sun, June 10) / Select one1 / $129 / $
CCE Exam Review(Sun, June 10- includes box lunch) / Select one1 / $159 / $
Optional Luncheons & Events:
NACM Scholarship Foundation Golf Outing(Sun, June 10) / Select one1234 / $149 / $
International Utility Group (IUG) Luncheon (Mon, June 11) / Select one123 / $55 / $
CFDD Luncheon(Tues, June 12) / Select one123 / $69 / $
I am proud to support the NACM Scholarship Foundation. / $10 $25 $100Other / $
Facilities Usage Fee~ Applicable only if you are not staying at one of our conference hotels. / $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 27, 2018, full registration fees will be refunded, less a $50 processing fee. BetweenApril 28, 2018 and May 4, 2018, 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 4, 2018; however, replacements may be made at any time.

Facilities Usage Fee-These fees apply to all delegates and spouses/guests staying at our official conference hotels, Hyatt Regency Phoenix or the Sheraton Grand Phoenix, from June 10-13, 2018. A Facilities Usage Fee of $250 applies to anyone not staying at either of these designated hotels during the conference. (Doesn’t apply to those who permanently reside in Phoenix.) Please go to the Credit Congress pages on the NACM web site for more information on the Facilities Usage Fee.

2018NACM Credit Congress Registration Form - Page 2