RPMI 2012 Retirement Advisor Business Development Conference

Wednesday, December 5 - Friday,  December 7, 2012

The Breakers
Palm Beach, Florida

There is no event registration fee for invited advisors and meals during the event are included. After you register, you will receive a confirmation email with important information about event attire, contact information, etc. for you to make your secured $215/night reservation at The Breakers Hotel. Please use proper sentence case i.e. danielle fenning or DANIELLE FENNING are incorrect. Danielle Fenning is correct.

ADVISOR REGISTRATION FORM
I was invited by (please provide name):   

*First Name:    *Last Name:  

* First and Last Name as you would like it to appear on Name Tag (no accredidations here please):  
Title:   
Company Name:  
*Address 1:  
Address 2:  
*City:     *State:     *ZIP Code:  
*Email:     *Phone:    
Fax:     Cell:   
 

I will be attending the following events:

Wednesday Night Reception Thursday Night Dinner and Reception:

 

Thursday Night Dinner Guest First Name:    Dinner Guest Last Name:  

(Colleagues need to fill out their own registration if they plan on attending sessions. If your hotel guest will not be eating dinner with us, please leave the above blank.)

RPM INSTITUTE EVENT COORDINATOR: Danielle Fenning
Phone: (561) 439-5252 ext 3366 Mailing Address:  
P.O. Box 16428
Fax: (561) 439-2488 West Palm Beach, FL 33416
Email: DFENNING@RPMINSTITUTE.COM
BY SUBMITTING THIS FORM I AGREE TO DISCLOSE MY CONTACT INFORMATION ONLY TO THE DCP INSTITUTE ATTENDEES.