2018 Convention Registration - NAIFA Idaho

55 SW 5th Avenue, Suite 100 / Meridian, ID 83642 PH: 208-888-0988 / FX: 208-888-4586

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2018 State Convention
Online Registration

PRINTABLE REGISTRATION

SPONSORSHIP FORM

Please complete the form below and click the "Submit" button.
Once completed, click "Buy Now" to enter your total amount due and payment information.

REGISTRATION INFORMATION

* Indicates required field

Name *

First

Last

Company *

Spouse/Guest Name *

First

Last

Name(s) of Child(ren) Attending *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Select all that apply

Email *

Phone *

Registration Options (Check all that apply) *

$150 - Full Convention - NAIFA Member $175 - Full Convention - Non-Member $100 - Single Day Only (June 19th) $50 - Ethics Class Only (June 20th) $100 - First Time Attendee (will be verified) $75 - Spouse/Guest $50 - Child (12 & under) $75 - Golf Tournament (Individual)

Notes for Registrar (optional) *

Total (this amount needed for payment on next page) *

Professional Designation(s) for Nametag *

CLU ChFC CFP LUTCF JD SERIES 6 SERIES 65/66 SERIES 7 CPA

Submit

NAIFA LINKS:
Join / Member Log-In / Idaho Department of Insurance / Errors & Omissions Insurance
NAIFA / NAIFA Blog / LILI / Find a Member / advisortoday

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