CBAO 2017 Regional Meetings Registration

Thank you for registering for our 2017 Regional Meetings! If you have any questions about this or other CBAO events, please contact Kelly Phillips at (614) 610-1876.

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* 1. Contact Information. Please complete the following as you would like it to appear on your badge.

First Name:

Last Name:

Title:

Bank / Company Name:

Address:

City:

State:

Postal Code:

Email Address:

Phone Number:

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* 2. Is there a contact you would like your confirmation materials cc'd to?

First Name:

Last Name:

Email Address:

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* 3. Which Regional Meeting are you registering for (please select all that apply)?

CENTRAL: New Albany Links Golf Club in New Albany, OH -- September 26, 2017

NORTHEAST: Silver Lake Country Club in Silver Lake, OH -- September 28, 2017

NORTHWEST: Stone Ridge Golf Club in Bowling Green, OH -- October 4, 2017

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* 4. Regional Meeting Registration Options -- you will receive an electronic confirmation within 48 hours of your registration.

FULL REGISTRATION – $149 member / $169 non-member: Includes breakfast, all education sessions, lunch, round of golf with a cart, golf amenities, cocktails and dinner.

ADDITIONAL ATTENDEE FULL REGISTRATION – $109 member / $129 non-member: Available to community bankers whose bank has already purchased a 2017 Full Registration. Each additional attendee after the primary receives a discounted rate.

MEETING / LUNCH ONLY – $39 member / $59 non-member: Includes access to education sessions and includes breakfast and lunch.

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* 5. Are you registering additional attendees?

Please list first and last name, title and email addresses for each additional attendee(s):

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* 6. Payment Information

Invoice Me

Pay with Credit Card

Pay with Credit Card Over the Phone (we will contact you within 48 hours)

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* 7. Credit Card Information

Credit Card Type

Credit Card Number

Expiration Date

Security Code

Name as it Appears on Card

Billing Address for Card

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* 8. How did you hear about the CBAO 2017 Regional Meetings?

Previous Attendee

CBAO Email

CBAO Mailer

CBAO Facebook

CBAO LinkedIn

CBAO Twitter

CBAO Website

Other (please specify)