Fall 2011 Meeting
May 11 – 13, 2011
Hyatt Regency
Indianapolis, Indiana
October 12 - 14, 2011

Event Fees:
$350 per member (or guest)
$150 per spouse

A copy of this event submission will be emailed to you immediately.

Please send your payment along with a copy of the registration confirmation you receive via email to:

David E. Conner
Central Claim Executives Association
c/o United Fire Group
118 2nd Ave SE, PO Box 73909
Cedar Rapids, Iowa 52407-3909


Please complete the following information to register for our Fall 2011 event!

 

First Name:
Last Name:
Company:
Email:
Phone:
Comments?

If you're bringing a spouse or guest, please provide their names as well.
Otherwise, you can disregard these fields.

Spouse First Name:
Spouse Last Name:
Guest First Name:
Guest Last Name:
Guest Spouse First Name:
Guest Spouse Last Name: