CBAO 44th Annual Convention & Trade Show Registration

Thank you for registering for our 44th Annual Convention & Trade Show! We will complete your registration within two business days of your submission. At that time, you will receive a confirmation email along with an invoice/receipt (depending on your preference). Our hotel registration info will also be included in your confirmation. If you have any questions, please contact Lianne Simeone at (614) 610-1877.

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* 1. Personal 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. Are you registering additional attendees? Please complete the following as their name badge should appear.

Additional Attendee 1 - First & Last Name:

Additional Attendee 1 - Title:

Additional Attendee 1 - Email Address:

Additional Attendee 1 - Phone Number:

Additional Attendee 2 - First & Last Name:

Additional Attendee 2 - Title:

Additional Attendee 2 - Email Address:

Additional Attendee 2 - Phone Number:

Additional Attendee 3 - First & Last Name:

Additional Attendee 3 - Title:

Additional Attendee 3 - Email Address:

Additional Attendee 3 - Phone Number:

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* 4. Convention Badges & Events (please select all that apply)

FULL CONVENTION BADGE – $659 member / $959 non-member: Includes access to our Welcome Reception, education sessions, Exhibit Hall Grand Opening, Silent Auction, Community Banking Celebration, Exhibitor Cocktail Hour, & Chairman’s Banquet

SUPPLEMENTARY FULL CONVENTION BADGE – $500 member / $800 non-member: Available to community bankers whose bank has already purchased a 2018 Full Convention Badge. Each additional attendee after the primary receives a discounted rate.

ONE-DAY CONVENTION BADGE – $450 member / $750 non-member (please indicate whether you prefer TUESDAY or WEDNESDAY in the box below): Includes access to education sessions on Wednesday or Thursday & that evening’s networking events.

SPOUSE / GUEST FULL CONVENTION BADGE – $400 member / $700 non-member: Includes access to our Welcome Reception, education sessions, Exhibit Hall Grand Opening, Silent Auction, Community Banking Celebration, Exhibitor Cocktail Hour, and Chairman’s Banquet

If you are purchasing a One-Day Badge, please tell us if you prefer Wednesday or Thursday

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* 5. If you are bringing a spouse/guest, please answer the following for their badge:

First Name

Last Name

City

Email Address

Phone Number

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* 6. ANNUAL GOLF OUTING RESERVATION – $169 members / $199 non-members: Includes (1) round of golf, cart, amenity bag, lunch, adult & non-alcoholic beverages, entry for course contests, and shuttle transportation.

I want to participate in the fun - I'm In!

Going to have to miss this year's event

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* 7. If you're registering a guest or additional attendees, will they be golfing?

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* 8. Please RSVP for the Following Evening Networking Events (all events are included in our Full, Supplemental and Spouse/Guest Badges; One-Day Badges include the event(s) on the day of attendance)

WELCOME RECEPTION LUAU: Tuesday, July 31

TACOS & TEQUILA COMMUNITY BANKING NIGHT: Wednesday, August 1

CHAIRMAN'S BANQUET HONORING CHAD HOFFMAN: Thursday, August 2

I'm unable to make this year's networking events

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* 9. 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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* 10. 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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* 11. How did you hear about the CBAO Annual Convention?

Previous Attendee

CBAO Email

CBAO Mailer

CBAO Facebook

CBAO LinkedIn

CBAO Twitter

CBAO Website

Other (please specify)

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* 12. Are you a member of the Tri State League of Financial Institutions?

Yes

Not Sure