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EVENT REGISTRATION
Select Event:
Event Type:

Prefix: Mr.Mrs.Ms.Dr.
First Name:		Last Name:
Nickname/ Preferred Name:
E-mail:		Cell Phone:
Preferred Mailing Address: Bank Business Home

Bank Information
Title:	Bank:
Address:
City:	State: Zip Code:
Country (Non‑USA):	Bank Asset Size (In millions):

Phone Number:

Business Information
Title:	Business:
Address:
City:	State: Zip Code:
Country (Non‑USA):

Phone Number:

Home Information
Address:
City:	State: Zip Code:
Country (Non‑USA):

Phone Number:

Spouse/Guest Information
Spouse/Guest(s) Names (If attending):	1)
Please enter first and last names.	2)
	3)
	4)

Program Attendance

Please let us know which events you will be attending. If you need to make changes in the future, you can contact us at (214) 768-2991 or info@swgsb.org.

Opening Reception: Yes (Alone)Yes (w/Guest)No

Luncheon: Yes (Alone)Yes (w/Guest)No

Topic Suggestion

What is the biggest challenge facing your bank today?

Program Fees
Assembly Fees: $1,850 each for 1st & 2nd directors $1,600 each for 3rd & remaining directors
$375 for spouse or each guest attending
You may register more than one director at a time. Please see the "Submit" button below.
Cancellation Policy: All refunds are subject to a nonrefundable $175.00 registration fee; cancellations must be in writing. Full refunds (less the nonrefundable registration fee) will be issued for cancellations made 30 days (or more) before the program’s start date. No refunds will be issued for cancellations made less than 30 days before the program's start date. There are no transfers of funds to other Assemblies or programs. Substitutions can be made 30 days in advance. For more information regarding administrative policies such as complaint and refund, please contact David Davis at 214-768-2991. I have read and accept the Cancellation Policy.

Submitted by:		Phone Number:

Please bill for the balance due.
Pay with credit card online. (You will be given the option to go to the online payment page after submission.)

Please register additional directors using the pop-up box that appears after you click "Submit" for your first registrant.

If you decide to register more directors at a later time, please call us at 214-768-2991. This will ensure you will receive the correct registration discounts.

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