Bask Management Planning Seminar Application Form
Kansas City, Missouri, September 26 - 27, 1996
The Westin Crown Center, Phone 816-474-4400
FFIEC Conference Rate: $118 Single / $128 Double
Name of Attendee____________________________________________________________________
Title_______________________________________________________________________________
Name of Institution ___________________________________________________________________
Address_____________________________________________________________________________
City, State, Zip_______________________________________________________________________
Telephone_____________________FAX_____________________Internet Address________________
Total Assets $_______________Primary Federal Regulator____________________________________
YOUR $350 CHECK MUST ACCOMPANY THIS APPLICATION FORM!
Space is limited. Receipt of your application is not a guarantee of registration.