2nd Annual ACAMS AML/CTF & Financial Crime Conference - AFRICA

Online Registration - Step 2 of 3

Please use the form below to register four (4) 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.
Attendee No. 3
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. 4
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 recalculate 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:
Attendee 3:
Attendee 4: