SCB Forums Secure Registration Form

CEO - Peer Group Forum
May 17 - May 19, 2020 Shutters on the Beach, Santa Monica, CA

Attendee Name First Last

Assistant Name (optional) First Last
Job Title
Company Name
Address

Street Address

City

State / Province / Region

Postal / Zip Code
Work Phone - (###) - ### ####
Email
Mobile Phone - (###) - ### ####
Assistant Email
Will a Spouse/Guest be attending Yes No
If yes, Spouse/Guest Name?
If a second executive from your bank is attending the meeting, please have that person fill out a separate Registration Form
Arrival Date MM / DD / YYYY
Departure Date MM / DD / YYYY
Please provide us with your credit card number so that we can block the correct number of rooms. No charges will be billed to your card at this time. As always, the usual one night's stay to guarantee your room will apply after the contract is signed with the hotel. As in the past, the hotel's cancellation policy (TYPICALLY 45 DAYS and all room nights booked) will apply to any subsequent cancellations. In addition, although you are not required to pay the Facilitation Fee at this time, we will charge you a cancellation fee of $1,000 if you cancel more than 30 days in advance of the meeting for any reason. If you cancel within 30 days of the meeting full facilitation fee will be charged.
Credit Card Type
Credit Card #
No spaces or dashes
Expiration Date MM / YYYY
Comments
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If you have any questions, please contact Hemang Patel at hemang@anatbird.com