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TUesday, March 15

5:30 pm – 6:30 PM : Conference Reception
Sponsored by Mutual Boiler Re
Come early & join our Conference Reception!

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Registration Deadline

March 5, 2011

FEES

Member/Associate: $150
Non-Member: $225

Overnight Accomodations

The Nittany Lion Inn, 200 West Park Avenue, State College, PA 16803. Reserve your room now by calling 1-800-233-7505. PAMIC Reservation #PAMC11B. A rate of $107, single occupancy and $117, double occupancy is available to seminar attendees. This rate is guaranteed through
February 19, 2011. The PAMIC rate will continue to be honored after this date as long as rooms are available. The PAMIC reservation number secures this rate.

Cancellation Policy

A full refund for this seminar minus a $25 fee will be given if a cancellation notice is received on or before March 1, 2011. Cancellations received after this date will not be refunded. A no show fee will be assessed for all registrations received, but not attended. You must pre-register to attend.

CE Credits

This Conference has been submitted for 5 CE Credits from the Pennsylvania Department of Insurance. To request credits outside of PA, please call PAMIC at 717-303-0197. Call early as Credit Requests must be submitted in advance.

  
Annual Spring Conference Registration Form

* required field

name*  
nickname for badge  
company  
address*  
city / state / zip code*  
   P Co de*
phone*  
email*  

Please describe any Dietary or Accessibility Needs:

Lunch Selection (If no selection, chicken will be provided.)

Beef          Chicken          Vegetarian     

I will be attending the Tuesday evening reception.

I would like to receive PA CE credits for this seminar.
        Producer License  

Payment*
Please select from the following options.

PAMIC Member/Associate Fee : $150
Non-Member Fee : $225

I will be sending a check to pay for my registration.
Please send an invoice.
I will pay online with my credit card.
(Click on the Paypal button AFTER clicking 'Submit'. There is a $5 fee to use this service.)

 
PAMIC • 1017 Mumma Road, Suite 103 • Wormleysburg, PA 17043 • phone 717.303.0197 • fax 717.303.1501 • info@pamic.org