2015 BAFT North America Annual Conference & Regulatory Compliance Forum May 3-6, 2015 Turnberry Isle Miami 19999 West Country Club Drive Aventura, FL Hotel Phone: + 1 (305) 932-6200 THREE WAYS TO REGISTER: ONLINE Complete the registration form at www.baft.org FAX +1.202.663.5538 Please be sure to include credit card information MAIL BAFT P.O. Box 70964 Baltimore, MD 21279 QUESTIONS? For further information on registration, please call +1.202.663.7575 □ If you have special needs that may affect your participation in this event, please check here. BAFT/ABA will contact you to discuss accommodations. This form is not applicable for sponsor and exhibitor registrations. Please contact [email protected] for registration information. Registration & General Information Registrant (last name) (first name) Nickname (for badge) Title Institution Address City State Postal Code _____________ Country Phone E-Mail All registration confirmations will be made by e-mail. REGULAR RATES *THE BELOW RATES INCLUDE THE REGULATORY COMPLIANCE FORUM ON MAY 6 ❏ Member Registration……………………………………….$1,950 ❏ Nonmember Registration.....................................$2,600 ❏ Government .......................................................$1,000 ❏ *Spouse/Guest ......................................................$500 *Registration for a Spouse/Guest will only receive access to the Breakfasts, Dinners, and Receptions. For entrance to sessions and the luncheons, a Daily or Full Conference Registration will need to be purchased. Spouse/Guest name: _______________________________ REGULATORY COMPLIANCE FORUM ONLY WEDNESDAY, MAY 6 __________RELEASE: I authorize BAFT to provide me with additional marketing and advertising communications regarding this and other conferences, meetings, and services provided by BAFT. __________ RELEASE: I authorize BAFT to share my contact information with its third-party supplier members to receive marketing materials and information on their products and services. ___RELEASE: CONSENT TO USE PHOTOGRAPHS AND VIDEOS: All attendance of registered participants, attendees, exhibitors, sponsors and guests (“you”) at American Bankers Association’s (“ABA”) conventions, conferences, meetings, or related activities, including all ABA subsidiaries and affiliates, (“Events”) constitutes an agreement between you and ABA regarding the use and distribution of your image, including but not limited to your name, voice and likeness (“Image”). By attending the Events, you acknowledge and agree that photographs, video, and/or audio recordings may be taken of you and you grant ABA the right to use, in perpetuity, your Image in any electronic or print distribution, or by other means hereinafter created, both now and in the future, for media, art, entertainment, promotional, marketing, advertising, trade, internal use, educational purposes or any other lawful purpose. ___RELEASE: ATTENDANCE LIMITATIONS AND LIABILITY: Attendance at all ABA, its subsidiaries and affiliates, programs will be considered on a first-come, first-served basis. If the program is cancelled, ABA’s, its subsidiaries and affiliates, liability is limited to the registration fee. SPECIAL EVENTS ❏ Golf Tournament– Sunday, May 3 . . . . . . . . . . . $250 ❏ Golf clubs rental . . . . . . . . . . . . . . . . . . . . . . . . . . $70 ❏ 5K FUN RUN/1K WALK – Monday, May 4 . . . . . . .$35 ❏ Member Registration………………………………………….$800 ❏ Nonmember Registration.................................. $1,000 ❏ Government .........................................................$450 HOTEL INFORMATION/RESERVATIONS For institutions/companies with 4 or more delegates attending the conference, a credit will be issued to each attendee at the end of the conference to reflect the group rate discount of $300 per person for the Full Conference and a discount of $100 per person for the Forum only. ❏AM ❏PM Departure Date/Time Check-in time is 4:00pm/Check-out time is 11:00am. ATTENDANCE LIST/CANCELLATION POLICY Special Requests: ____________________________________ April 17, 2015, is the deadline to be listed on the Attendance List. Cancellations must be received either in writing to BAFT at [email protected] or faxed to +1 202.663.5538. Full refunds will be given prior to April 4, 2015. Partial refunds until or on April 29, 2015; but a $395 processing fee will be incurred. No refunds will be issued starting April 30, 2015; however, if you need to cancel, substitutions are welcome. PAYMENT □ Invoice Request □ Check (payable to BAFT) □ Visa □ MasterCard □ Optima □ Diners Club Card# Arrival Date/Time ❏AM ❏PM □ Hotel Rooms: $249.00/King or Double Queen (includes $10 resort fee) □ No Accommodations Needed RESERVATION GUARANTEE All reservations must be guaranteed with a deposit equal to one night’s stay with one of the following valid credit cards: ❏ Visa ❏ Optima ❏ MasterCard ❏ Diners Club ❏ American Express ❏ Discover Card# Expiration Date □ American Express □ Discover Expiration Date Signature Note: I agree to pay the above total amount according to the card issuer agreement. □ Wire Transfer Payable to: American Bankers Association, SunTrust Bank, 1445 New York Avenue, N.W., Washington, DC 20005 Routing Number: 061000104 Wire Transfer Account Number: 206664656. Attn: Paula Davis/BAFT Signature Note: I agree to pay the above total amount according to the card issuer agreement. HOTEL DEADLINES/CANCELLATION The hotel reservation cut-off date is APRIL 1, 2015. THE HOTEL WILL CONFIRM YOUR RESERVATION DIRECTLY. After receipt of your hotel information, all changes in arrival, departure, type of accommodations, or cancellation must be made directly with the ABA Registration Center, either in writing or by telephone +1.202.663.5274. However, after APRIL 1, it is the responsibility of the attendee to notify the hotel of any additional changes needed to the reservation.
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