Register Name Title Credit Union Name Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Zip Work Phone Cell Phone Email I am attending this event as a Credit Union Staff PersonVendor Sponsor If you are a Credit Union Staff Person, is your credit union a current partner of CU Members Mortgage? YesNoI am a sponsor Which event would you like to register for? Memphis, TN April 4-5, 2019Denver, CO July 11-12, 2019Philadelphia, PA August 8-9, 2019 Do you intend to book a room at the host hotel? YesNo (Please go to “Book Your Room” after you have completed registration to book your hotel room.) Do you have any dietary restrictions? YesNo If yes, please describe: Event Fee Amount:$199 I will pay for my registration by: CheckCredit Card Event Fee is: $299 with early bird special of $100 off if you register 60 days prior to the scheduled event. Sponsor/Vendor Attendees Fee: $499 with early bird special of $100 off if you register 30 days prior to the scheduled event. Please Note: you can only use the same credit card once every 2 hours.