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APPLICATION
(Please
Print or Type)
New date, April 2010!
Prepayment, please, to STRAIN PUBLISHING INC.,
choosing one of these options:
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1) Send
STRAIN PUBLISHING your course application with a check drawn on a U.S.
bank; or
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2) Send
STRAIN PUBLISHING your course application with an International Money Order.
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Smoking
Preference
q Smoking
q Non
Smoking
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HOTEL
RESERVATIONS:
On receipt of this application, a single room will be
reserved for you at the DoubleTree Fort Lee Hotel (at the George Washington
Bridge), 2117 Route 4 East, Fort Lee, New Jersey 07024 (Phone: 201 461 9000; FAX: 201 585 9807)
for Tuesday lunch through Friday breakfast, April 20 – 23, 2010. Telephone
Strain Publishing if your needs differ.
New date, April 2010!
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Reinsurance and Contract Wording
Textbook Training Course
The
Thirty-Eighth Course
April 20 – 23, 2010
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Name
E-mail:
Work Title Telephone:
Company
Street Address
with number
for suite, room, or floor, please.
City, State, Zip
For Your Name Tag
Name
Company
Supervisor’s Name
Telephone:
E-mail:
Person to notify in emergency
Name
Telephone
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AGREEMENT:
I attach a check for $3,145* in U.S. funds cashable by a
U.S. bank (or a bank transfer in that amount) in payment for the Course Fee.
(An application must be accompanied by payment, please.)
I understand that if my application is cancelled for any
reason, I shall be entitled to a refund of the Fee according to the following
schedule, after deducting for books shipped to me: for notice of cancellation
prior to April 1, 75% refund; or prior to April 14, 50%. No refund will be
expected if I fail to appear at the Course without notice of cancellation
prior to April 14. In lieu of refund, request for postponement to the next
Course date without charge will be honored if the request is received before April
7. Tape recordings not permitted.
Signature___________________________________________________
Date_____________
Years
of reinsurance experience, please_____
*Deduct $200 per book if Reinsurance
or Reinsurance Contract Wording, or $300, if lodging is not needed. For each of 2 or more applicants per company, deduct
$200.
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