Welcome to NAIFA Alabama
"Taking Care of Business"
2014 MS-AL NAIFA State Convention
June 22-24, 2014
Grand Hotel Marriott Resort, Golf Club & SPA
One Grand Boulevard, Point Clear Alabama
Early Bird Deadline:
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 Grand Hotel Marriott Resort, Golf Club & SPA at , group code:
(Hotel Rate is $179/night and the hotel deadline is ).
Registration Form: Please Print or Type
First Name, Last Name, Nickname for Badge
Designations (Circle) LUTCF, CLU, ChFC, CFP, CPCU, FLMI, FSS, RHU, CLF, AMTC, 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 _____
2014 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 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 ___________
Double Registration after ___________
Single Registration before ___________
Single Registration after ___________
6/ Golf Tournament (Includes green fee and carts) $50.00 ___________
6/ MDRT/CLU Breakfast Buffet during General Session* $25.00 ___________
Registration Fee and Additional Activities $ ___________
Total Amount Enclosed $ ___________
We must have an accurate count for the Tuesday banquet. Please confirm attendance:
____ Yes, # of attendees: _______ ____ Not Attending
Schedule at a Glance
(Subject to change)
Sunday, June 22, 2014
8:00am – 10:30am NAIFA MS 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 23, 2014
7:30am Exhibits Open
Magnolia E-F ??????
7:45am Registration Continues
8:00am – 8:30am Opening General Session Ceremony
NAIFA-Mississippi and NAIFA-Alabama Presidents Speak
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
The Premier Association in the Insurance and Financial Industry.