REGISTRATION FORM LIMITED SPACE AVAILABLE How to Register: 1) E-mail:
[email protected] 2) Fax: (212) 564-6053
To register please complete all portions of this form. Please print legibly using one form per person. You must be a lender or intermediary to register. You must be registered for the Convention to attend
___________________________________________________________ ___________________________________________________________ Name Nickname for Badge ___________________________________________________________ ___________________________________________________________ Job Title Company ___________________________________________________________ ___________________________________________________________ Company Address City State Zip ___________________________________________________________ ___________________________________________________________ Telephone Email Do you want your email listed in the directory? □ Yes or □ No Type of Organization □ □ □ □ □ □
Bank Affiliated ABL Broker Business Development Corporation Community Bank Debt Advisory Entrepreneurial Finance & Factoring
□ □ □ □ □ □
Equipment & Leasing FinTech Hedge Fund International ABL & Factoring Inventory Finance Large, Non-bank
□ □ □ □ □ □
2nd Lien/Junior Debt Lender Merchant Cash Advance Middle Market ABL Private Equity Firm Supply Chain Finance Syndicated ABL/Capital Markets
□ □ □ □
Trade Finance/Purchase Order Traditional Factoring Turnaround Management Other
REGISTRATION FEES
You must be a lender or intermediary to register. You must be registered for the Convention to attend.
FUNDING EXCHANGE
□ $295
Payment Method □ VISA □ MasterCard □ AmEx □ Discover □ Check Enclosed (payable to CFA) Account # __________________________________________________________ Exp. Date __________________ Cardholder’s Name ___________________________________________________Signature ___________________ Billing Card Address Same as Company Address □ Billing Address _________________________________________________________________________________
Payment must be included for registration to be processed Limited space, first-come, first-served. Filling out the form does not guarantee a attendance. The Funding Exchange takes place on November 8, 2017 from 12:00 – 4:00 p.m. Tables are set-up with CFA lenders only. No booth materials – no flashy sell-sheets. Just uniform signage provided by the CFA. Attendees, whether CFA members or others, must also be registered for the Convention. Appointments (by both lenders and other participants) will be made for 15-minute blocks and a maximum of 10 appointments in advance to ensure availability