2019 November Professional Development Meeting

Attendee 1: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Attendee 2: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Attendee 3: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Attendee 4: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Attendee 5: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Attendee 6: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Attendee 7: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Attendee 8: *

First Name Last Name

Title: *

Company Name: *

Email: *

example@example.com

Cell Phone Number (This number will only be texted/called by MACUMA in the event that something changes regarding this event or your registration.)

Do you plan to claim CPE credit for this event?

Yes No

Please select the categories that best describe your job (Select All)

Executive/C-Suite Branch Management Administrative Young Professional Credit Union Board Member Senior Management Affiliate

Dietary Restrictions: *

None Vegetarian Vegan Gluten Free Kosher

Disabilities (Please Specify):

Calculation

*I'd like to be included in the attendee list for this event*

Opt In

*I'd like to receive information from this events Sponsor(s)*

Opt In

Total Amount Due: *

USD Description

Credit Card

Receipt Recipient Email *

example@example.com

Refund and Compliant Resolution Policy

If a cancellation is received for this event, a refund will be issued in the amount paid minus a $20 nonrefundable administrative fee. Cancellations must be received at least 48 hours prior to the event to qualify for a refund. An attendee may also opt to transfer his or her registration to another attendee within his or her own company at no cost. All requests must be made in writing and sent to MACUMA. For more information regarding administrative policies, please contact Sara Wood at (202) 581-6900.