REGISTRATION AREA: Mastercard and Visa Payments Only

Please fill in the information requested below *REQUIRED FIELDS

Title*:

Dr Mr Mrs Ms 

Last or Family Name*:

First and Other Names*:
Business Title:
Organisation*:
Street Address*:
City*:
State:
Zip Code:
Country*:
Business Phone*:
E.g. 2464375608
Fax Number:
E.g. 2464277277
Email*:
(Please ensure the email above is correct as your payment transactions will be sent to this address.)
Accompanying Spouse/Child:    [Children under 16 - No charge)]
Each additional person will incur an additional cost of US$250
CONFERENCE REGISTRATION [PROFILE]
Please fill in the information requested below: *REQUIRED FIELDS
Gender*:
Male Female 
Professional Designation:
Company Type*:
Life Non-Life Composite Broker Agent Reinsurer Other 
If Other: provide info.
IAC MEMBER*:
YES
NO
LIMRA/LOMA MEMBER*:
YES NO 
Number of IAC Conferences attended*:
CONFERENCE REGISTRATION [REGISTRATION DETAILS]
Please click the relevant check box below indicating if you are a Member, Non-member or an Exhibitor.
IAC & limra loma (L/L) MEMBERS
PACKAGE

IAC NON-MEMBERS PACKAGE

Exhibitors package
General Registration Fee:

  • US$600 before April 30,
  • US$650 after April 30,
General Registration Fee:

  • US$950 before April 30,
  • US$1000 after April 30,
General Registration Fee:

  • US$500 before April 30,
  • US$550 after April 30,
General Registration
MEMBER NON MEMBER EXHIBITORS
After completing Conference Registration, please procees to Exhibition Booth Registration
Number of persons attending:
TOTAL COST for IAC Conference $US
CREDIT CARD DETAILS
Card Type:
 VISA  MasterCard
Card Number: XXXX -XXXX - XXXX -

(Enter the last 4 digits of your Credit Card details above for the purpose of verification.)
Cancellation Policy

Any cancellations for registration will be refunded less US$100.00.Any cancellations received after April 30, , will NOT be refunded any part of the registation fee.