21st Annual
Southern Surety & Fidelity
Claims Conference
(RSVP Form)
April 15th - 16th, 2010
Doubletree Guest Suites
Charleston Historic District
Charleston, SC
Tel: 1-843-577-2644
When making reservations, mention the 2010 Southern Surety Meeting

Please fill in as much information as you can.
You can use your tab key to move between requested information.



Your Full Name
Your E-Mail Address

Your Name ( as you would like it to appear on your name tag )


Company Name
Physical Address
City State Zip

Mailing Address
City State Zip
Phone No.: Fax No.:

CONFERENCE INFORMATION

Please check only those events you will be attending:

WEDNESDAY April 14, 2010

Dinner Wednesday Evening April 14, 2010
Number Attending this event including Yourself.


THURSDAY April 15, 2010

The Conference on Thursday April 15, 2010
Lunch Thursday April 15, 2010

Dinner Thursday Evening April 15, 2010
Number Attending this event including Yourself.


FRIDAY April 16, 2010

The Conference on Friday April 16, 2010
Surety Breakout Session? Fidelity Breakout Session?

Please Check if You are Interested in Playing Golf after the Conference on Friday
Number of Players?

Will you be staying: Friday Night? Yes No
Dinner Friday Evening April 16, 2010
Number Attending this event including Yourself.

SATURDAY April 17, 2010


 Please Check if You are Interested in Playing Golf on Saturday Morning
Number of Players?

Will you be staying Saturday Night ?Yes No
Dinner Saturday Evening April 17, 2010
Number Attending this event including Yourself.

ADDITIONAL INDIVIDUALS JOINING YOU
For Cockail Parties, Dinners
(Spouse , Significant Other, etc.)

Name (1) Relationship (1)
Name (2) Relationship (2)
Name (3) Relationship (3)

This is a casual dress conference.
This RSVP form is for conference registration only!
Please be sure to call and make your reservations at the hotel before 5:00 PM - March 30, 2010 and don't forget to mention the
Southern Surety Fidelity Claims Conference to ensure reservations at the discounted rate.

Doubletree Guest Suites
Charleston Historic District
Charleston, SC
Tel: 1-843-577-2644
When making reservations, mention the 2010 Southern Surety Meeting

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detailing what you have submitted to us. Please print that form as your confirmation.