2012 AMFTRB Annual Meeting Registration

September 5-6, 2012 in conjunction with the 2012 CLEAR Annual Conference September 6-8, 2012 in San Francisco, California, which requires its own separate registration.

Please ensure that your listing either on the State Delegate listing or the State Board Listing is up to date.

Update Delegate Listing | Update State Board Listing

Please be certain to complete the AMFTRB Clearing House Questionnaire.

Person attending the Annual Meeting     * indicates required field

* First Name: * Badge Name (e.g., BOB)
* Last Name (typically the Badge Name is one's first name )
* Address 1: * Delegate Status
Address 2:     State Delegate (one voting delegate per state)
* City:     Alternate Delegate
* State: Please select your state.     Other
* Zip:  
* Phone:
 
Cell:
 
FAX:
 
* E-mail:
 
* Are you attending the AMFTRB annual meeting for the first time? Yes  No
If yes, will you be attending the Orientation Breakfast for ALL Delegates on Wednesday, September 5? Yes  No

Briefly state any recent changes in your state regulations or rules.

Comments and Questions
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