IAC Home | The Insurance Association of the Caribbean Inc.
|(Please type or print) |Registration Details |
|Title Sex M F |Please indicate membership status: |
| | |
| |IAC Member |
|Last or Family Name First and other Names |Early Registration Fee by April 8, 2020 US |
| |$675.00 |
| | |
|Business Title Professional Designation |Registration Fee April 9 – May 20, 2020: US$725.00|
| | |
| |Late Registration Fee After May 20, 2020: |
|Organisation |US$825.00 |
| | |
| |Spouse/Guest US$150.00 |
|Street Address | |
| |LIMRA/LOMA Member |
|City |Early Registration Fee by April 8, 2020 US |
| |$675.00 |
| | |
|State Zip Code Country |Registration Fee April 9 – May 20, 2020: US$725.00|
| | |
|Business Phone Fax Number |Late Registration Fee After May 20, 2020: |
| |US$825.00 |
|Email Address | |
| |Spouse/Guest US$150.00 |
|Spouse/Guest(s) | |
| |IAC and LIMRA/LOMA Member |
|(Dr/Mr/Mrs/Ms) Email |Early Registration Fee by April 8, 2020 US |
| |$675.00 |
|Sex M F | |
| |Registration Fee April 9 – May 20, 2020: US$725.00|
|Company Type: | |
|Life |Late Registration Fee After May 20, 2020: |
|Non-life |US$825.00 |
|Composite | |
|Broker |Spouse/Guest US$150.00 |
|Agent | |
|Reinsurer |NON Member |
|Other |Early Registration Fee by April 8, 2020 US |
| |$995.00 |
|No of Conferences attended: | |
|None: 1-5 6-10 11-15 15+ |Registration Fee April 9 – May 20, 2020: |
| |US$1045.00 |
| | |
| |Late Registration Fee After May 20, 2020: |
| |US$1145.00 |
|REMITTANCE DETAILS | |
|(Kindly provide confirmation of transaction for payment by Cheques, Bank Drafts and Wire Transfers) |Spouse/Guest: US$150.00 |
| | |
|Wire Transfer Details: |Special Interest |
| |Exhibitors and Regulators |
| | |
|CIBC First Caribbean Grenada |Early Registration Fee by April 8, 2020 US |
| |$500.00 |
|Correspondent Bank: Wells Fargo Bank, New York, USA | |
| |Registration Fee April 9 – May 20, 2020: US$550.00|
|Swift Code/ABA Code: PNBPUS3NNYC/026005092 | |
| |Late Registration Fee After May 20, 2020: |
|Beneficiary Name: Insurance Association of the Caribbean |US$650.00 |
| | |
|Beneficiary Bank and Address: CIBC FirstCaribbean International Bank (Barbados) Limited |Please indicate if you will be participating in the |
|Church Street, St. George’s, Grenada |following activities: |
| | |
|Swift Code: FCIBGDGD |CIC Special Events |
| |CIC Opening Ceremony and Cocktail Reception (Sunday May|
|Beneficiary Account No. 107040770 |31, 2020 |
| |CIC Party (Tuesday June 2, 2020) |
| | |
|………………………………………….. |Cancellation Policy: |
|Signature of Registrant |Any cancellation for registration will be refunded less|
| |US$100.00 if received on or before April 30, 2020. Any|
|Conference Hotel – Atlantis Hotel, Paradise Island, Bahamas |cancellations received after April 30, 2020, will NOT |
| |be refunded any part of the registration fee. |
|Please note that the IAC is not responsible for making hotel bookings. | |
| |All cheques should be in US dollars, drawn on a US bank|
|Please indicate any dietary needs or preferences: |and payable to : |
| | |
|…………………………………………………………………………............. |Insurance Association of the Caribbean Inc, Thomas |
| |Peirce Building, Collymore Rock, St Michael Barbados, |
|…………………………………………………………………………………. |West Indies |
| | |
| |Tel: (246) 427-5608 Fax: (246) 427-7277 |
|Arrival Date: | |
|Arrival Time: |E-mail: conference@iac- |
| | |
|Departure Date: | |
|Departure Time: | |
| | |
|(Please fill out these details to aid us in making your hotel check in process a pleasant one) | |
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