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108th LHCA Meeting
Date:
Wednesday, May 3, 2017
to
Friday, May 5, 2017
Location:
Savannah, GA
Hosted By:
Michael L. Granger, PA
Price:
$435.00
Check All That Apply:
Member of Handout Committee
Executive Committee
Plan on bringing a laptop computer and need plug in capability
Sponsor
This is my first Life and Health Compliance Association Meeting
Add the number of guests that will be coming with you ($50.00 per guest)
0
1, +$50.00
2, +$100.00
3, +$150.00
4, +$200.00
* Guest fee includes the same breakfast, lunch and reception events provided to the registrant.
Add the name of your guests below
Special Considerations for Registrant and Guests:
Please list any dietary or physical limitations needing special consideration
Number of Golfers ($100.00 per golfer)
0
1, +$100.00
2, +$200.00
3, +$300.00
4, +$400.00
5, +$500.00
If necessary, will you have a car available for transportation to the golf course?
No
Yes
If yes, how many golfers could ride with you?
0
1
2
3
4
5
6
7
8
9
My company has:
Equity Indexed Life
Pre-need
Annuities
Credit
Disability Income
Equity Indexed Annuities
Health Insurance
Life Insurance
Long-Term Care
Major Medical
Managed Care
Medicare Supplement
Specified Disease
Variable Annuities
Variable Life
Please mark all that apply:
Continue Registration Process
$435.00
