Collector - June 2010

REGULAR REGISTRATION DEADLINE: JUNE 14, 2010

MAP (Members’ Attorney Program) Conference Early Bird (By 5/14) • MAP Conference Only (MAP members/sponsors only)  776 • MAP Additional Registrants (MAP member from same company & location)  660 • MAP Conference & ACA Convention (Discounted price to attend both events)  1,242 • MAP Conference & ACA Convention Additional Registrants  1,056 (From same company & location) • ACA member but not a MAP member/sponsor  961  Apply for CLE credits from my state. MUST register on or before May 7, 2010, to be eligible for CLE credits. Please write state(s)______________________________________.  Yes, I am attending the MAP special event on Monday, July 12. • Buy-in for President’s Banquet. (Must be purchased by June 28, 2010.)  135

Regular (5/15-6/14)

 862

Late (On/After 6/15)

 949

 733  1,379  1,172

 807  1,518  1,290

 1,047

 1,134

 140

 145

PPMS (Professional Practices Management System) Seminar: July 9-10

• PPMS Seminar First Registrant – Member  549

• PPMS Additional Registrant – Member  469

• PPMS – Nonmember  687

Number of employees in your company ___________

 549  469  687

CCCO (Credit & Collection Compliance Officer) Workshop: July 10

• CCCO Workshop First Registrant – Member • CCCO Workshop Additional Registrant – Member • CCCO Workshop – Nonmember

 239  204  332

 265  226  332

Additional Tickets (Convention and MAP attendees and their guests)

• Welcome Reception Tickets of Tickets __________  90

• Passport to the World Reception Tickets of Tickets __________  50

• President’s Banquet Tickets (by June 28) of Tickets __________  135

 95  55  140

 100  60  145

Page 2 Total ____________ Payment: Payment required for processing. A confirmation e-mail will be sent to you.

 Check payable in U.S. dollars to ACA International
 Credit card:  MasterCard  Visa  American Express
Card Number ______________________________________ Expiration Date _______________________________________
Print Cardholder’s Name ______________________________ Signature ___________________________________________
All credit card transactions are processed in U.S. dollars and are subject to the current exchange rates. International funds must be submitted in U.S. dollars.

Special Needs and Dietary Requirements

Additional fees may apply. ACA will do its best to accommodate your request as indicated below.

Please indicate if needs are for:  Registered attendee  Guest

 Vegetarian  Kosher: $75/meal  Special Diet  Vegan  Allergy Considerations ________________________  Physical Needs Please see information page for cancellation policies, registration deadlines and registration fee categories. By registering for this event, I hereby acknowledge and agree that ACA International is not responsible for any injury, claim, liability or other cause of action of any kind based upon or resulting from my participation in this event. By attending this event, I authorize ACA to use my image in any promotional or informational material produced by or on behalf of ACA International. Any communication or material I do submit to ACA International will be treated as non-confidential and non-proprietary, and shall be deemed the property of and may be used by ACA International, or its affiliates, for any purpose including developing, producing and marketing products for commercial sale. ACA International may edit, copy, publish, distribute and otherwise use in any medium any submission to ACA International.