Registration is now open

PINSTRIPES South Barrington Illinois

Conference Fee:  Early bird $95 or $100 at the door         

ZELLE – CREDIT CARD – CHECK 

• Please use Registration Format below, email to cua.treasurer1@gmail.com
• To pay early by credit card contact Connie Costa cua.treasurer1@gmail.com
• Pay with Zelle to cua.treasurer1@gmail.com
• Make check payable to: Chicago Underwriters Assoc., 959 W Willow St, Palatine IL 60067
• Let us know if you are interested in joining us for bowling after the meeting
• Hotel—If you plan to stay at the Marriott for this meeting, please book early and use this link Book your group rate for The Chicago Underwriting Association,  Reservation-Link

Attendee Registration Format

Name of Company: ______________________________________________

Attendee Name(s)*: ________________________________________________

Contact Email Address: _________________________________________________

Payment Method (select one):
☐ Zelle
☐ Check
☐ Credit Card
☐ Pay at the Door

Conference Fee:

• Early Payment (Credit Card, Zelle, or mailed check received before event): $95
• At the Door: $100

Amount Paid: $________________________

If paying early, please indicate method:
☐ Credit Card
☐ Zelle
☐ Mailed Check

Date of Payment: _______________________

Zelle Payments: Send to cua.treasurer1@gmail.com

Early Payment/Questions? Contact Connie Costa at cua.treasurer1@gmail.com

Mailing address: 959 W Willow St. Palatine, IL 60067

*Please use an asterisk to denote those who are bowling after the conference