Conference Registration

Third Party Marketers Association Annual Conference

*Registration is limited to firms working in the Third Party Marketing Arena*

* denotes a required field

* first name:
* last name:
* firm:
* email:
title:
address 1:
address2:
city:
state/province:
zip/postal code:
phone:
fax:
* CC Type:
* CC Number:
* Exp. Date:	MMYY
* Fee Type:	NOTE: Registration after August 31, 2010 will be $650 for members and $750 for non-members 3PM Member ($550) Non Member ($650) 3PM's that are not yet association members Conference Discounts Available: 1) Receive a $200 discount when your 3PM membership application and conference registration form are received at the same time. Enter the discount code "BUNDLE" in the Discount Code box located below. 2) Receive a $100 discount per registrant on three or more attendees for the annual conference. All registrations must be submitted at the same time. Enter the discount code "MULTI" in the Discount Code box located below. *Discounts valid until September 1, 2010.
I will attend:	Day 1: October 13th Pre-Conference Workshop Welcome Cocktail Reception/Dinner Day 2: October 14th Compliance and Regulatory Review Track 1 - Broker Dealer Firms OR Track 2 - Registered Reps Closing Cocktail Reception

	Special diet or physical disabilities requests:

	Enter Discount Code Here:
Cancellation Policy:	All cancellations must be in writing. Cancellations received after confirmations have been processed are subject to a $50 administrative fee. After September 24, 2010, a $100 cancellation fee will be incurred. After October 8, 2010, no refunds will be given.