Registration

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California Credit Union Collectors Council

14^th Annual Educational Conference

Make My Day in San Jose

October 18th - 20th, 2001

CCUCC MEMBERS REGISTRATION
FULL CONFERENCE $225.00
3RD ATTENDEE SAME CREDIT UNION $215.00
GUEST (MEALS ONLY)$100.00

NON-MEMBERS REGISTRATION
FULL CONFERENCE $275.00

GUEST (MEALS ONLY)$100.00

ASSOCIATE MEMBERS REGISTRATION
COST FOR TWO ATTENDEES
FULL CONFERENCE $340.00
NON ASSOCIATE MEMBERS $690.00
GUEST (MEALS ONLY)$100.00
ELECTRICAL OUTLET $50.00

The fees listed above are early bird prices and are applicable to all registrations postmarked or e-mailed before 9/14/01. All registrations postmarked after 9/14/01 will require an additional $75.00 per registrant. Conference registration deadline is 9/20/01.

Please provide your credit union/company information

      First name 
       Last name 
           Title 
    Organization 
  Street address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal code 
         Country 
      Work Phone 
             FAX 
          E-mail

Please tell us your membership association (choose one of the following)

Enter your CCUCC Chapter (if applicable) below.

List any additional attendees below:

All cancellations must be in writing. There will be a processing fee of $50.00 charged for all cancellations 30 days or more before the conference. There will be no refunds after 9/19/00.

BY SUBMITTING THIS FORM, YOU AGREE TO REMIT THE NECESSARY FUNDS TO COMPLETE REGISTRATION WITHIN FIVE DAYS. CHECKS SHOULD BE REMITTED TO:

CCUCC-2001 CONFERENCE
P O Box 8265
FRESNO CA 93747-8265