2016 Annual Meeting & Expo Registration Form

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2016 Annual Meeting & Expo Registration Form Registration Information Registration Fees Name Company Address

 Member/Affiliate/Associate

$845

______

 Spouse/Guest*

$425

______

 Golf

$325

______

 Spouse/Guest Golf*

$325

______

City/State/Zip

TOTAL ENCLOSED

Phone Number

$ _________

*Fees apply to husband/wife, significant other or other non-suretyindustry-employed person who accompanies the registrant to the meeting. These categories do not apply to a second or subsequent registrant from your agency or company.

Fax Number E-mail Address Register online at www.nasbp.org or by sending this FORM and your CHECK to: NASBP PO Box 79954 Baltimore, MD 21279-0954 Make your check payable to NASBP. Credit card payments are only accepted with the online registration form. Registrant’s Name for Badge: Spouse/Guest Name for Badge:______________________

Do you or your spouse/guest have any special needs to be accommodated? □ Yes □ No If “Yes” please describe:

________________________________________ ________________________________________ REGISTRATION CANCELLATION POLICY All cancellations must be sent in writing to NASBP at [email protected]. For a full refund, a written cancellation must be received by April 15, 2016. Cancellations received between April 15 and May 2, 2016 are eligible for a 50% refund. Cancellations received after 5:00 pm on May 2 are not eligible for refunds. CREDIT CARD CANCELLATION POLICY

Spouse/Guest Email:____________________________ Continuing Education Session “Joint Ventures in Construction” Presented by Peckar & Abramson, P.C. Monday, May 16 (12:15 pm – 2:15 pm) Pre-registration is required (check box below) □

CE Session Participation

When cancelling a registration paid for by credit card, all refunds will be issued by check only, a 5% processing fee will be deducted from the refund. Please indicate the number of people attending each social event (Registered Attendees or Spouse/Guests Only) _____ Final Evening Awards Dinner _____ Spouse/Guest Event (Activity for Registered Spouse/Guests Only)

2016 Golf Tournament Registration Please see Golf Tournament section of this brochure for Tournament Details and Cancellation Policies

I wish to play:

My Spouse/Guest wishes to play:

□ □

□ □

Broadmoor East Course - Individual Play Broadmoor West Course - 4 Ball Scramble

Broadmoor East Course - Individual Play Broadmoor West Course - 4 Ball Scramble

My handicap or typical score is ______

My spouse/guest’s handicap or typical score is ______

Golf Foursome Requests

Golf Club Rental

1.

Registrant

2.

______________________________

Please check boxes below for golf club rental. Do not forget to indicate right or left handed clubs. Club rental fees with be handled with the golf course pro shop.

3.

______________________________

Registrant Rental………Right Hand

4.

______________________________

□ or Left Hand □ Spouse/Guest Rental….Right Hand □ or Left Hand □