REGISTRATION
THINK BIG. LEARN BIG.
GENERAL INFORMATION
First Name _________________________________________ Last Name _________________________________________ Designation( s) ____________________________ Nickname( for name badge) _____________________________________ Company Name __________________________________________________________________________________________ Job Title _________________________________________________________________________________________________ Address ______________________________________________________________________________________________ Address _____________________________________________________________________________________________ City _____________________________________ State / Province ________________________________________________ Zip / Postal Code ________________________________ Country ______________________________________________ Phone ___________________________________ Email ____________________________________________________________ ASA Member Number _______________________
Please list any dietary restrictions. We will make every effort to accommodate your request. ______________________________________________________________________________________________________
� Check here if you need assistance with special needs. An ASA representative will contact you.
REGISTRATION FEES
|
Member |
CICBV |
Non Member |
Early Bird( before August 2) |
� $ 950 |
� $ 1,050 |
� $ 1,150 |
Regular |
� $ 1,000 |
� $ 1,100 |
� $ 1,200 |
SESSION SELECTION
Please select one session for each time period.
Sunday, October 13, 2013
5:00 – 6:30pm � Get Acquainted Welcome Reception
Monday, October 14, 2013
8:30- 9:30am � Keynote Address
9:35- 10:35am � Healthcare Reform and the Impacts on Appraisal Practice � Where Are We Heading with Fair Value Measurements in Financial Reporting?
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