2011 ANNUAL MEETING May 1-4, 2011 Washington, DC Marriott Wardman Park Hotel A P R I L 2 5 - 2 8 I WA S H I N G TO N, D C I M A R R I OT WA R D M A N PA R K H OT E L
N F ORM REGISTRATION FORM To register for the 2011 AALU ANNUAL MEETING, please complete this form and email to
[email protected] or fax it to the AALU at 703.641.9885 with the required payment . You may also register online at www.aalu.org .
REGISTRATION FEES & OPTIONS
Please select the appropriate registration option:
PREFFERED
STANDARD
$1199
$1299
1/1/11 - 4/2/11
MEMBER PROSPECTIVE MEMBER*
4/3/11 thru 5/1/11
$1500
$1500
Includes Membership fee discount**
Includes Membership fee discount**
FAMILY PASS
$350
$350
GUEST PASS
$350
$350
EXHIBITOR & SPONSOR PASSES
If you are an exhibitor or sponsor, contact Carrie Gorman-Green at 571.201.3507 or by email to
[email protected] for registration information.
FAMILY PASSES are only available to family members of current AALU members who are not engaged in the practice of insurance or are employed by any company engaged in insurance or related businesses. Family passes allow holders to attend any event except those open to “AALU members’ only”. GUEST PASSES are available to the clients, advisors or prospects of current AALU members. Guest passes allow holders to attend Sunday workshops, the Sunday President’s Dinner, and Monday General Sessions. Guest pass holders may not attend any members’ only sessions, Tuesday or Wednesday sessions. MEMBER & PROSPECT INFORMATION I am a: (select one)
[ ] Member
[ ] Prospective Member*
Name: __________________________________________________ Title : ___________________________________________________ Company/Organization: ____________________________________ Mailing Address: _________________________________________ City/State/Zip: ___________________________________________ Email: ________________________________________________
First Name on Badge: _____________________________________ Primary Carrier: __________________________________________
Office: _________________________________________________ Phone: __________________________________________________ Fax: _____________________________________________________
*PROSPECTIVE MEMBER
In order to attend the 2011 AALU ANNUAL MEETING as a prospective member, you must meet all of the following criteria: 1. You have never attended an annual meeting as a prospective member. 2. You are sponsored by a current AALU member. 3. You meet AALU membership requirements. (see www.aalu.org for details) [ ] I am sponsored by: ____________________________________ [ ] Please find a sponsor for me.
**Membership discount includes $500 credit against first year membership & $750 initiation fee waiver discount must be claimed by 12.31.11
FAMILY & GUEST INFORMATION Name: _________________________________________________ Email: _________________________________________________
First Name on Badge: _____________________________________
ADDITIONAL INFORMATION
[ ] Please do not share my email address with 2011 AALU Annual Meeting Exhibitors and Sponsors. [ ] I have special needs, requirements or dietary restrictions. Please describe: ____________________________________________________________________________________________________
FIRST TIME ATTENDEES
[ ] I will attend the IMPACT training session on Sunday, May 1st. [ ] I will attend the New Member / First time attendee orientation on Sunday, May 1st. [ ] I will attend both.
CAPITOL HILL CLUB (Members only)
[ ] I will attend the Congressional Town Hall Meetings on Tuesday, May 3rd. APRIL WORKSHOPS
2 5 - 2 8 I WA S H I N G TO N, D C I M A R R I OT WA R D M A N PA R K H OT E L I w w w. A A LU. o r g
[ ] I plan to attend one or more workshops during the 2011 Annual Meeting.
PAYMENT INFORMATION
Payment must be enclosed by credit card or check. Payment Amount: _____________ [ [
[
] Payment by check: make payable to AALU and mail to: AALU, P.O. Box 631536, Baltimore, MD 21263-1536 ] Payment by credit card Credit Card Type: [ ] Visa [ ] MasterCard [ ] AMEX Name on Card: _____________________________________ Credit Card No. : ___________________________________ Expiration Date: ___ / ___ Cardholder’s Signature: _______________________________ ] Fax payment information to 703.641.9885
HOTEL RESERVATIONS
Once your payment is processed, you will recieve a confirmation email that includes your link to the Marriott Wardman Hotel and the Omni Shoreham hotel. You will be able to take advantage of the discounted AALU room rate while rooms are available. Reservations must be made by April 6, 2011 to qualify.
CANCELLATION / REFUND POLICY
All cancellation requests must be made to AALU, Attn: Meeting Dept., 11921 Freedom Drive, Suite 1100, Reston, VA 20190 or faxed to 703.641.9885. 100% refund: Cancellation notice must be received by 3/1/11. 50% refund: Cancellation notice must be received by 4/2/11. No refund will be allowed after 4/3/11. NOTE: All refunds are subject to a $50 processing fee.
