| * I'm a |
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NAIFA Member |
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Non-Member |
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Non-licensed Employee of a Member (see member fees) |
| NAIFA/NAHU Member Fees (Early bird fees until April 17th) * |
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$125 - Conference Only (No Banquet) |
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$155 - Conference & Banquet |
| Non-Member Fees |
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$200 - Conference Only (No Banquet) |
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$245 - Conference & Banquet |
| Extra Banquet Tickets (Members or Non-Members) |
If you are bringing guests to the banquet, indicate the number of tickets needed.
Extra Banquet Tickets
at $45 each |
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| Wednesday Afternoon Sessions You Will Attend
|
| 2 - 3 P.M. |
Marlene Lund, Professional Speaker, Trainer and Consultant
The Elephant in the Room: Holes in Government and Private Health Plans (1 Hr CE, pending approval) |
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| 5 - 6 P.M. |
NeAHU Business Meeting
NAIFA – Promoting Yourself in Your Profession |
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| * First Name |
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| * Last Name |
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| * Badge Name |
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| * Company |
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| * Address |
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| * City |
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| * State |
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| * ZIP |
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| * Work Phone |
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| Fax |
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| * Email |
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| Insurance
CE needed
Nebraska
Iowa
CFP |
NE Insurance License #
or Natl Producer # |
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| Last six digits
of Iowa Producer License |
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| CFP Board Id# |
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| Total Cost |
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| * Credit Card Type |
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| * Card Number |
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| * Expiration Date |
(mm/yyyy) |
| * Name on Your Credit Card |
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| * Billing Phone Number |
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