REGISTRATION FORM

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I will call you at 800-ASK-4FMS. (800-275-4367) to discuss ... iPad Tablet ❑ Android Tablet ❑ Other (Kindle Fire, No
The Finance & Accounting Forum | June 14-16, 2015 | Scottsdale, AZ

Registration Form June 14-16, 2015

scottsdale, AZ

Conference Registration Forum Only By May 15, 2015

3 Ways to Register

By May 15, 2015

1. Mail: Financial Managers Society

Forum & Forum Only Forum & Prepare for After May 15, 2015 Prepare for CECL seminar CECL seminar

1 N. LaSalle St., Ste. 3100 Chicago, IL 60602-4003

2. Fax: (312) 578-1308 3. Web: www.fmsinc.org

Name: ________________________________________________

FMS Member. . . . . . . . . . . . . Staff/Co-worker of Member ..

□ $1,150 □ $1,250 □ $1,350

□ $1,825 □ $2,025 □ $2,425

After May 15, 2015

□ $1,250 □ $1,350 □ $1,450

□ $1,925 □ $2,125 □ $2,525

Title: __________________________________________________

Non-member. . . . . . . . . . . . .

Organization: __________________________________________

Pre-Conference Workshops

Mailing Address: _______________________________________

Preparing for Your Next IRR Review........................................

City, State, Zip: ________________________________________

Capital Stress Testing and ALCO/ERM: Designing a Framework ...............

□ $275 □ $275

Asset Size: ____________________________________________

Optional Tour*

# of people

TOTAL

Phone: ______________________Fax:_______________________

Rockin’ and Wheelin’ Jeep Tour……………. .$155.00

x _______=

E-mail: ________________________________________________

Sunday Golf Outing*

# of people

In case of emergency, contact:

FMS Golf Outing……………………. . . . . $160.00

x _______=

Full name: _____________________________________________

Club rental……………………. . . . . . . . . .$45.00

x _______=

Phone: ________________________________________________

Men’s right……………… . . . . . . . . . . . . qty _______ Men’s left……………… . . . . . . . . . . . . qty _______ Women’s right……………… . . . . . . . . .qty _______ Women’s left……………… . . . . . . . . . . . . qty _______

Relationship to you: _____________________________________

q I need special accommodations in order to fully

participate. I will call you at 800-ASK-4FMS (800-275-4367) to discuss my requirements.

q SEC Registrant q CPA

Guests: $195.00 per person, children under 12 are free Full name:________________________

I am a (select all that apply):

q First-time attendee

Mobile Usage If any, please select any/all mobile devices you use:

q iPhone q Android q Smartphone q Blackberry q iPad Tablet q Android Tablet q Other (Kindle Fire, Nook) q Not Applicable

TOTAL

Full name:________________________

□ Under 12 □ $195.00 □ Under 12 □ $195.00

GRAND TOTAL

$__________

Payment must accompany registration.

q Check enclosed payable to Financial Managers Society q Charge my MasterCard, Visa or American Express:

On Twitter? Follow us at @FMS_Inc and we’ll follow you at:



______________________________________________________

Signature: __________________________________________

Card #: _________________________ Exp Date: __________

Questions? Call 800-ASK-4FMS (800-275-4367) Refunds and Cancellations: Refunds minus a $150 processing fee will be issued for written cancellations received by FMS no later than May 19, 2015. No refunds are given for cancellations received after May 19, 2015; however, a substitute from your institution is welcome. FMS reserves the right to change instructors or reschedule/cancel sessions when necessary. FMS is not responsible for airfare penalties incurred due to the cancellation of a program. *Optional events and Golf Outing are non-refundable except when the events themselves are cancelled by FMS.