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Northeast Surety Fidelity Claims Conference (RSVP Form)

September 18th – 20th, 2019
The Ocean Resort & Casino - 500 Boardwalk
Atlantic City, New Jersey

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.

CONTACT:
The Ocean Resort & Casino
500 Boardwalk, Atlantic City, NJ 
Reservations - 1-866-506-2326 (Mention the Northeast Surety Conference)

Room Reservations Must be Made "WITH THE HOTEL" by Wednesday September 4th, 2019

Please fill in as much information as you can.

You can use your tab key to move between requested information.

* Your Name

* Your Email

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.

* Cell Phone No.
(Should we have contact you at the conference)

* Fax No.

CONFERENCE INFORMATION

*How would you like to receive the conference papers?

Thumb Drive  Hard Copy

Please check only those events you will be attending:

   Welcome Reception & Dinner Wednesday Evening

Number Attending this event including yourself.

   The Conference Thursday
    Lunch on Thursday
    Thursday Afternoon Fidelity Session
    Thursday Afternoon Surety Session
    The Cocktail Party Thursday Evening

Number Attending this event including yourself.

   Dinner Thursday Evening

Number Attending this event including yourself.

   The Conference on Friday

   Friday Golf Outing

Number of Players

   Friday Dinner at the Knife & Fork

Number Attending this event including Yourself

   Saturday Golf Outing

Number of Players

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

Name(1)

Relationship(1)

Name(2)

Relationship(2)

Name(3)

Relationship(3)

SUBMIT