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2013 Latin American Bancassurance Seminar - Online Registration

Brazilian British Center, Sao Paulo, Brazil
3/7/2013 - 3/8/2013

Fill in the information below and click the Submit button at the bottom of the page. If you have any questions, please contact LIMRA Customer Service at 800-235-4672, 860-285-7789, or

Note: Required fields are marked with an (*).

Attendee Information
* First Name (given name):
Middle Name or Initial:
* Last Name (family name):
* Business Title:
Professional Designation(s):
* Job Level:
* Functional Area:
* Line of Business:

* Responsibility :


* Company:
* Street Address:
Street Address Line 1:
Street Address Line 2:
* City:
* Country:
* State/Province:
Postal Code:
* Work Phone:
Fax Number:

* Corporate Email Address:

Registration Fees
* Standard Registration Rate:

Promotional Code (if applicable)

Attendee Information
* Name for Badge:
LIMRA/LOMA provides an advance attendee list to each Exhibitor and Sponsor registered for this conference. These vendors offer unique solutions and specialized expertise for our industry, and LIMRA/LOMA limits their use of the advance list to one time in conjunction with this event. Full Privacy Policy is viewable at
* May we include your email address on the advance attendee listing provided to registered exhibitors and sponsors?
Please list any dietary restrictions:

Interpretation Services
This event will be presented in Portuguese, Spanish, and English. Interpretation into Portuguese, Spanish, and English will be offered at no additional cost.
* Will you require interpretation equipment?

Cancellation Policy
All cancellations must be received in writing. Cancellations received before February 8, 2013, will be refunded, less a $75 processing fee. Cancellations received from Febrary 8, 2013, to February 22, 2013, will be refunded, less a $275 processing and administrative fee. No refunds will be issued after February 22, 2013.
In the event that a scheduled meeting or event is cancelled by LIMRA/LOMA for any reason, LIMRA/LOMA shall refund any conference registration fees that have been paid by the registrant. Under no circumstances, however, shall LIMRA/LOMA be liable to the registrant for any other expenses including, but not limited to, airfare and hotel expenses incurred by the registrant.