Online Registration - Step 2 of 3

Please use the form below to register two (2) attendees. You may choose a different number of attendees if you wish .

VIP Code

Attendee No. 1

Prefix

First Name*

Middle Initial

Last Name*

Suffix

Phone* ex. +xx-xxx-xxx-xxxx

Department*

Email*

Rate*

Regular Rate:

Conference + Workshop*
ACAMS Member Price US$ 1,370.00	Non-Member Price US$ 1,470.00
_______________________________________________________________________
Conference Only
ACAMS Member Price US$ 995.00	Non-Member Price US$ 1,095.00

* Pre-Conference Workshop occurs Wednesday, 9 December 2013.

Attendee No. 2

Prefix

First Name*

Middle Initial

Last Name*

Suffix

Phone* ex. +xx-xxx-xxx-xxxx

Department*

Email*

Rate*

Regular Rate:

Conference + Workshop*
ACAMS Member Price US$ 1,370.00	Non-Member Price US$ 1,470.00
_______________________________________________________________________
Conference Only
ACAMS Member Price US$ 995.00	Non-Member Price US$ 1,095.00

* Pre-Conference Workshop occurs Wednesday, 9 December 2013.

Administrative Contacts
Booking Contact
Prefix
First Name	Middle Initial	Last Name	Suffix
Phone ex. +xx-xxx-xxx-xxxx	Department	Email
Head of Department
Prefix
First Name	Middle Initial	Last Name	Suffix
Phone ex. +xx-xxx-xxx-xxxx	Department	Email
Company Details
Company Name*		Company Phone* ex. +xx-xxx-xxx-xxxx
Address 1*		Address 2
Address 3		City*
State/Province*	Zip/Postcode*	Country*
Payment IMPORTANT! Please click the button to display the total amount due based on member status and rate selected above. You may recalcuate if necessary. US$ Payment Method: Send Invoice PayPal (credit cards) Billing Contact First and Last Name: Billing Email: Enter other billing contact details if different from Company name/address above: Please insert the values from the image above into the field below: Click the button below to proceed. Attendee 1: Attendee 2: