2012 Joint VT/NH MBA Compliance Conference Registration Form
April 18 & 19, 2012        Lake Morey Resort, Fairlee, VT
REGISTRATION IS A TWO Step process.
1. Complete and Submit this form (Print before you submit if you want a copy)           
2. Mail a Check or Return to this page to Pay by Credit Card.          
Member VMBA
NHMBA or
other?
If Full Conference -
Indicate Menu Choice
Prime Rib, Stuffed Chicken
Breast, or Salmon
Company Name
Full Conference or
which day?
First Name
Last Name
 Email Address
Name(s):
Name(s):
Name(s):
Name(s):
Name(s):
Name(s):
Your email address:
 Your phone number:
MBA Members (VMBA, NH-MBBA or other) :  
Full Conference:  $295 (Late after 3/31 = $395)
One Day, no dinner: $175 (After 3/31 = $225)
Non MBA Member:  Full Conference = $450 ($550)
  One Day, no dinner = $275 ($375)
NO REFUNDS - Substitutions always welcome.
Pay by Credit Card with link below or MAIL  CHECKS  TO:  
Vermont Mortgage Bankers Assn.
12 NORTH MAIN ST
ST. ALBANS,  VT  05478.  

Click Here for a Printable
Invoice
STEP TWO - TO PAY BY CREDIT CARD.
After clicking Registration Link above, RETURN
TO THIS PAGE
for Credit Card Link.
(Note - you do not need a PayPal account.)   
Full Conference
Members $ 295
Late after 3/31 $395
Full Conference
NonMember $450
Late after 3/31 $550
One Day, no dinner
Members $ 175
Late after 3/31 $225
One Day, no dinner
NonMember $275
Late after 3/31 $375