Fiduciary Responsibilities for Boards of Directors and Executives in Wealth and Asset Management Register Online: www.aba.com Thursday, November 20, 2014 • 2:00 - 3:30 p.m. ET By Fax: 800-676-0734 REGISTRATION FORM Telephone: 800-775-7654 Title: ______________________________________________________________________________ Mail: KRM Information Services, Inc., 200 Spring Street, Ste. F Eau Claire, WI 54703 FDIC Certificate No.: ________________________________________________________________ ABA offers a satisfaction guarantee, which entitles you to a 100% refund of your registration fee if you are not completely satisfied with your attendance at this program. To register a complaint or request a refund, please submit a written notice to Cari Hearn, 1120 Connecticut Avenue NW, Washington, D.C. 20036 or call 202663-5393. ABA endeavors to resolve all such requests within 60 days of receipt of written notice. The group-live ABA/FIRMA Briefing is being reviewed for continuing education credit eligibility. American Bankers Association is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org Name: _____________________________________________________________________________ Institution: _________________________________________________________________________ (Please visit http://www2.fdic.gov/idasp/main.asp to look up your institution’s FDIC Certificate number.) Street Address: _____________________________________________________________________ City/State/Zip: ______________________________________________________________________ E-mail address: (please print clearly) ______________________________________________________ Daytime Phone/Fax: _________________________________________________________________ *You will receive the URL to access briefing materials from KRM Information Services via the email address noted above. If you wish to discontinue receiving information or prefer to receive information via email, please fax your contact information to 202-828-5053 or email it to marketing@aba.com. Thank you. REGISTRATION – Briefing # 21751 Each registration entitles you to ONE connection where an unlimited number of listeners can participate in this live-group event. There are no prerequisites required for this program. BRIEFING BONUS – Live Briefing includes7-day complimentary streaming access to recording □ ABA/FIRMA/ICB/Service Member Registration □ Non-Member Registration (Now available – A choice of Online Access (30-day access) or CD) Indicate preference: □ CD □ Online Access to Recording (30-day access) □ ABA/FIRMA/ICB/Service Member Combo (Live Registration & Recording) □ Non-Member Combo (Live Registration & Recording) $335 $530 CD or ONLINE ACCESS ONLY □ Online Access to Recording (30-day access) □ ABA/FIRMA/ICB/Service Member Recording □ Non-Member Recording Any transmission, retransmission or publishing of the audio portion of this briefing is strictly prohibited. $365 BRIEFING AND RECORDING COMBO Indicate preference: □ CD *This ABA Briefing includes streaming audio over the Internet, where an unlimited number of listeners can participate at one location. Audio over the telephone can be provided as an alternative. Avoid technical difficulties by running a short, simple test now at http://www.krm.com/test/ons. $235 TOTAL $235 $365 $_______________ All registrations must be prepaid in US dollars. Please check your payment option: □ Visa □ MasterCard □ American Express/Optima □ Discover □ Check – Make payable to KRM. Services provided to ABA by KRM Information Services, Inc. Card # ______________________________________ Expiration Date ____________________ Signature ______________________________________________________________________