b'CMA LAS VEGAS 2019 REGISTRATION FORMRegistration receivedRegistration received on or before October 10, 2019 from October 11, 2019 to date of seminarCMA Member $495 $595Additional Attendee Same Company $395 $495Non-Member $695 $795Pool Managers Focus Group/Luncheon* $65 N/ARegistration Total $ ________ $ ________PAC Raffle Tickets (voluntary; $20 or more) $ ________ $ ________TOTAL ENCLOSED $ ________ $ ________ *Must register by 10/10/19.Limited to regular CMA members who pre-register and who are Pool Managers Focus Group Members.Advanced registration is recommended.Call to confirm space availability.Please check all applicable boxes.Attendee Name: _______________________________Attendee Name:______________________________ Company: ______________________________________________________________________________Address: ____________________________________City/State/Zip: _______________________________Phone:_________________ Fax:____________________ E-mail: _______________________________ Dietary Restrictions (please detail): ____________________________________________________________Support Our PACBuy Raffle Tickets!$20 buys 1 ticket$100 buys 6 ticketsCMA Regular Memberqty. ___ @ $495/$595 =______$200 buys 14 tickets (7 per $100)Additional Attendee qty. ___ @ $395/$495 =______$300 buys 24 tickets (8 per $100)Non-Member qty. ___ @ $695/$795 =______$400 buys 36 tickets (9 per $100)PAC Raffle Tickets ($20 min) qty. ___ @_____=______$500 buys 50 tickets (10 per $100)Focus Group + Lunch*qty. ___ @ $65 = ______Get free tickets when you register online!*Pool Managers attendee names:TOTAL ______PAYMENT OPTIONSCheck enclosed (payable to California Mortgage Association)Please charge my Visa MasterCard AmExAccount Number: _______________________________________Exp. Date: ___________CID #: ________Name on Card:__________________________________________________________________________Billing Address: _______________________________City/State/Zip: _______________________________Signature: ______________________________________________________________________________3easy ways1.Register online at CALIFORNIA MORTGAGE ASSOCIATIONwww.californiamortgageassociation.com 2520 Venture Oaks Way, Suite 150to register! 2.Complete and fax this form Sacramento, California95833(916) 239-4080(916) 924-7323 Fax3.Complete and mail this form www.californiamortgageassociation.com'