National Title Solutions Forum Committee
April 20-21, 2010

Chase Auto Finance
14800 Frye Road, Fort Worth, TX
 
Register online below or Fax a completed registration form to (202)776-7315 Attention: Hope Cummings.
If you do not wish to register online below, click here to download a registration form.

GENERAL INFORMATION
(Print/Type information EXACTLY as you wish it to appear on the registration roster).
 
ONLINE REGISTRATION FORM:
* Indicates required field
 
(Mr. Ms. Dr). First Name:        *
Last Name:    *
MI:   
Nickname (for badge):    *
Title:   
Company:   
Address:    *
Address 2:    *
City:    *
State:    *
Zip:    *
Phone:    * (XXX) XXX-XXXX
Fax:    (XXX) XXX-XXXX
Email:
(mandatory for processing)
   *

 
     If you require special assistance to fully participate in the conference please complete the box below with your special needs request. Thank you
 
REGISTRATION FEES:
 
Finance Companies
and Suppliers
Item Cost Total
Registration (Includes breakfast, breaks and lunch as well as meeting materials) $150 $
    Total $
 
Please check here if you will attend the Reception on April 20
(Complimentary thanks to sponsors)
 
** Industry suppliers who wish to attend the meeting and serve on the Committee must join AFSA. For details and membership information please contact Jenny Bengtson at 202-776-7304 or email [email protected]
 
PAYMENT INFORMATION:
Enter Credit Card Information
Click here to use registration information above for billing
Name on Card:
First Name:
Last Name:

Card Information:
Card Type:
Card Number:
Expiration Date:
Card Verification Number:

Billing Address:
Street Address:
City:
State:
ZIP Code: (5 or 9 digits)
Amount $:
 
HOTEL INFORMATION:
There is no official Hotel Room Block for this meeting. However, Chase is located only a few minutes from the DFW Marriott and recommends the following hotels as the closest to their office. Thank you.

Dallas/Fort Worth Airport Marriott South
4151 Centreport Blvd
Fort Worth TX 76155
(817) 358-1700

Holiday Inn Dallas - Fort Worth Airport South
14320 Centre Station Dr
Fort Worth TX 76155
(817) 399-1800

Candlewood Suites DFW South
4200 Reggis Dr
Fort Worth TX 76155
(877) 860-1365

AIR & GROUND TRANSPORTATION INFORMATION:
Daimler Financial Services is easily accessible by taxi from DFW and surrounding Hotels.

Chase Auto Finance
14800 Frye Road
Fort Worth, TX

If you choose to rent car we encourage you to use Enterprise and take advantage of the special AFSA discount by entering the following discount code 16AH072.
CANCELLATIONS & REFUNDS:
All registration cancellations and refund requests must be made in writing to Hope Cummings, at AFSA, 919 18th Street, NW, Suite 300, Washington, DC 20006 or email [email protected] Full refunds will be given until 1 week prior to the first day of the meeting and substitutions can be made at any time.
QUESTIONS:
If you have questions about registration please contact Hope Cummings at AFSA 202-463-7671/[email protected] or if you have general meeting questions please contact Michele Battaline at 202-776-7302/ [email protected].


For More Information Contact the Meetings Department
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