Welcome to NAIFA Alabama

 "Taking Care of Business"

2013 MS-AL NAIFA State Convention

June 23-25, 2013

Beau Rivage Resort & Casino Biloxi, MS

               

 

Early Bird Deadline: Prior to May 22, 2013

Guest Registration: Fee required if guest is 17 or older. Anyone in the insurance business is required to pay the full registration fee.

Hotel: Make your personal reservations directly with Beau Rivage at 888-383-7037, group code: NAIFA MS-AL.

(Hotel Rate is $129/night and the hotel deadline is May 22, 2013).

Registration Form: Please Print or Type

________________________________________________________________________________________________________________________________________________________________

First Name Last Name Nickname for Badge

Designations (Circle) LUTCF CLU ChFC CFP CPCU FLMI FSS RHU Other ______________

Local Association Name ____________________________________________________________________________________

(Circle All that Apply) Regular Member State Officer/Board Member Age 40 & Under

_________________________________________________________________________________________________________________________

Company and/or Firm

_________________________________________________________________________ ________________________________________

Office Address City, State, ZIP

_______________________________________________ _____________________________________________

Phone (Office or Home) E-mail Address

If this is a double registration (NAIFA Member/Spouse or Member/Guest) ___ Yes ___ No

________________________________________________________ ________________________________________________________

Spouse or Guest Name Nickname for Badge

Name Tags for children _______________________ age __________

______________________________- age _________ ______________________________ age _______________

Circle all of the following that are current:

NAIFA-MS Foundation NQA NSAA NMSA HSQS MDRT

IFAPAC contributor Level: (please circle):

Annual: Investor Century Club Ambassador Statesman Envoy Diplomat Emissary Capitol

Are you on facebook? Yes_____ No _____

____ Check if you need Continuing Education Credits

2013 Convention Registration Fees

Registration and Payment Policy: Please send payment with registration form.

Registration will not be processed until payment is received.

Make check or money order payable to NAIFA MS.

Mail registration to NAIFA-Mississippi, P.O. Box 13649, Jackson, MS 39236

Cancellation Policy: All cancellations must be in writing to the NAIFA-MS office. Cancellations after May 27th will be charged a processing fee of $50.

Fees include – Opening Night Event, Meetings & Banquet (Golf/Breakfasts Event are separate tickets)

• Double Registration includes admission for two to above functions. (NAIFA Member/Spouse or Member/Guest)

• Single Registration includes admission for one to above functions.

REGISTRATION FEES COST QTY

Double Registration before May 22 $215.00 ___________

Double Registration after May 22 $230.00 ___________

Single Registration before May 22 $195.00 ___________

Single Registration after May 22 $210.00 ___________

NON-MEMBERS:

You must register above and pay the appropriate fee plus $60.00 for the continuing education credits. (Monday and Tuesday)

6/23 Golf Tournament (Includes green fee and carts) $50.00 ___________

6/25 MDRT/CLU Breakfast Buffet during General Session* $25.00 ___________

GRAND TOTAL

Registration Fee and Additional Activities $ ___________

Total Amount Enclosed $ ___________

We must have an accurate count for the Tuesday Night banquet. Please confirm attendance:

____ Yes, # of attendees: _______ ____ Not Attending

 

Schedule at a Glance

(Subject to change)

Sunday, June 23, 2013

8:00am – 10:30am NAIFA MS Board meeting

8:00am – 10:30am NAIFA AL Board meeting

8:00am – 10:00am Exhibitors set up booth

11:00am – 4:30pm Golf Tournament

1:00pm – 5:00pm Registration

10:00am – 5:00pm Exhibitor Move In

Magnolia E-F

6:00pm – 8:00pm Opening

Welcome Seafood Boil/Jambalaya

Small Craft Harbor

Monday, June 24, 2013

7:30am Exhibits Open

Magnolia E-F

7:45am Registration Continues

8:00am – 8:30am Opening General Session Ceremony

NAIFA MS and AL President Speaks

8:30am – 9:30am Julie McNeeley, NAIFA National Secretary

 

Remit Payment to NAIFA-Mississippi, PO Box 13649, Jackson, MS 39236-3649

Call with questions: (601) 981-1522 or e-mail: NAIFA-Jackson@comcast.net or fax this form to: (601) 981-2745