To register online for the Association for Title Information Management’s (ATIM) 2010 conference, please fill out the information below. After submission, please print and mail in a copy of your receipt with a check payment made payable to “ATIM”.
First Name: *
Last Name: *
Name on Badge: *
Company: *
Title:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip Code: *
Email Address: *
Telephone Number: *
First time attendee? * Yes No
Will you be attending the general session on day 1? * Yes No
Will you be having lunch on day 1? * Yes No
Will you be attending the general session on day 2? * Yes No
Will you be attending the included sailing catamaran tour/social outing at the conclusion of day 2? How many total attendees (includes family/spouse)? * 0, Not Attending 1 Attendee 2 Attendees 3 Attendees 4 Attendees 5 Attendees
Security: What’s 2 + 2? *
