Conference Group Registration | Annual Anti - Fraud Conference (AFA, CDI, CDAA, NICB, CAIF)

2025 Conference Event Group Registration

Group registration for the 2025 Annual Anti-Fraud Conference

"* (required)" indicates required fields

Step 1 of 3

For every five paid conference registrations from a business entity or government agency, a sixth conference registration is complimentary. Contact the AFA Executive Secretary (secretary@antifradalliance.org) for a discount code.

Group Registration Coordinator Details

Registration Coordinator Name* (required)

Prefix First Last

Coordinator Title* (required)

Coordinator Email* (required)

For security purposes we require your professional/org email address.

Enter Email Confirm Email

Coordinator Phone* (required)

Please enter your professional/org phone

Organizational Details

Organization Category* (required)

ASSOCIATION* (required)

Organizational Concentration, Area of Focus or Specialty

CARRIER* (required)

Organizational Concentration, Area of Focus or Specialty

LAW FIRM* (required)

Organizational Concentration, Area of Focus or Specialty

PRIVATE INVESTIGATOR FIRM* (required)

Organizational Concentration, Area of Focus or Specialty

PUBLIC SECTOR* (required)

Organizational Concentration, Area of Focus or Specialty

SELF-INSURED* (required)

Organizational Concentration, Area of Focus or Specialty

SERVICE PROVIDER* (required)

Organizational Concentration, Area of Focus or Specialty

THIRD PARTY ADMINISTRATOR* (required)

Organizational Concentration, Area of Focus or Specialty

Organization Name* (required)

Organization Name – OTHER

Organization Address Region* (required)

United States

Canada

All Other Int’l

Organization Address – United States* (required)

Street Address Address Line 2 City State ZIP Code

Organization Address – Canada* (required)

Street Address Address Line 2 City Province Postal Code

Organization Address – International* (required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Registrant Details

Number of Registrations

Registrant 1

1. Name* (required)

First Last

1. Preferred Name for Conference Badge* (required)

1. Professional Title* (required)

Will appear on Conference Badge / Do not include organization name

1. Work Location* (required)

State / Province / Region Country

1. Email* (required)

1. Primary Phone* (required)

1. Please enter your P.O.S.T number (if applicable)

1. Please enter your California State Bar number (if applicable)

1. Membership Registration Status* (required)

Registrant 2

2. Name* (required)

First Last

2. Preferred Name for Conference Badge* (required)

2. Professional Title* (required)

2. Work Location State* (required)

State / Province / Region Country

2. Email* (required)

2. Primary Phone* (required)

2. Please enter your P.O.S.T number (if applicable)

2. Please enter your California State Bar number (if applicable)

2. Membership Registration Status* (required)

Registrant 3

3. Name* (required)

First Last

3. Preferred Name for Conference Badge* (required)

3. Professional Title* (required)

3. Work Location State* (required)

State / Province / Region Country

3. Email* (required)

3. Primary Phone* (required)

3. Please enter your P.O.S.T number (if applicable)

3. Please enter your California State Bar number (if applicable)

3. Membership Registration Status* (required)

Registrant 4

4. Name* (required)

First Last

4. Preferred Name for Conference Badge* (required)

4. Professional Title* (required)

4. Work Location State* (required)

State / Province / Region Country

4. Email* (required)

4. Primary Phone* (required)

4. Please enter your P.O.S.T number (if applicable)

4. Please enter your California State Bar number (if applicable)

4. Membership Registration Status* (required)

Registrant 5

5. Name* (required)

First Last

5. Preferred Name for Conference Badge* (required)

5. Professional Title* (required)

5. Work Location State* (required)

State / Province / Region Country

5. Email* (required)

5. Primary Phone* (required)

5. Please enter your P.O.S.T number (if applicable)

5. Please enter your California State Bar number (if applicable)

5. Membership Registration Status* (required)

Registrant 6

6. Name* (required)

First Last

6. Preferred Name for Conference Badge* (required)

6. Professional Title* (required)

6. Work Location State* (required)

State / Province / Region Country

6. Email* (required)

6. Primary Phone* (required)

6. Please enter your P.O.S.T number (if applicable)

6. Please enter your California State Bar number (if applicable)

6. Membership Registration Status* (required)

Registrant 7

7. Name* (required)

First Last

7. Preferred Name for Conference Badge* (required)

7. Professional Title* (required)

7. Work Location State* (required)

State / Province / Region Country

7. Email* (required)

7. Primary Phone* (required)

7. Please enter your P.O.S.T number (if applicable)

7. Please enter your California State Bar number (if applicable)

7. Membership Registration Status* (required)

Registrant 8

8. Name* (required)

First Last

8. Preferred Name for Conference Badge* (required)

8. Professional Title* (required)

8. Work Location State* (required)

State / Province / Region Country

8. Email* (required)

8. Primary Phone* (required)

8. Please enter your P.O.S.T number (if applicable)

8. Please enter your California State Bar number (if applicable)

8. Membership Registration Status* (required)

Registrant 9

9. Name* (required)

First Last

9. Preferred Name for Conference Badge* (required)

9. Professional Title* (required)

9. Work Location State* (required)

State / Province / Region Country

9. Email* (required)

9. Primary Phone* (required)

9. Please enter your P.O.S.T number (if applicable)

9. Please enter your California State Bar number (if applicable)

9. Membership Registration Status* (required)

Registrant 10

10. Name* (required)

First Last

10. Preferred Name for Conference Badge* (required)

10. Professional Title* (required)

10. Work Location State* (required)

State / Province / Region Country

10. Email* (required)

10. Primary Phone* (required)

10. Please enter your P.O.S.T number (if applicable)

10. Please enter your California State Bar number (if applicable)

10. Membership Registration Status* (required)

Registrant 11

11. Name* (required)

First Last

11. Preferred Name for Conference Badge* (required)

11. Professional Title* (required)

11. Work Location State* (required)

State / Province / Region Country

11. Email* (required)

11. Primary Phone* (required)

11. Please enter your P.O.S.T number (if applicable)

11. Please enter your California State Bar number (if applicable)

11. Membership Registration Status* (required)

Registrant 12

12. Name* (required)

First Last

12. Preferred Name for Conference Badge* (required)

12. Professional Title* (required)

12. Work Location State* (required)

State / Province / Region Country

12. Email* (required)

12. Primary Phone* (required)

12. Please enter your P.O.S.T number (if applicable)

12. Please enter your California State Bar number (if applicable)

12. Membership Registration Status* (required)

Registrant 13

13. Name* (required)

First Last

13. Preferred Name for Conference Badge* (required)

13. Professional Title* (required)

13. Work Location State* (required)

State / Province / Region Country

13. Email* (required)

13. Primary Phone* (required)

13. Please enter your P.O.S.T number (if applicable)

13. Please enter your California State Bar number (if applicable)

13. Membership Registration Status* (required)

Registrant 14

14. Name* (required)

First Last

14. Preferred Name for Conference Badge* (required)

14. Professional Title* (required)

14. Work Location State* (required)

State / Province / Region Country

14. Email* (required)

14. Primary Phone* (required)

14. Please enter your P.O.S.T number (if applicable)

14. Please enter your California State Bar number (if applicable)

14. Membership Registration Status* (required)

Registrant 15

15. Name* (required)

First Last

15. Preferred Name for Conference Badge* (required)

15. Professional Title* (required)

15. Work Location State* (required)

State / Province / Region Country

15. Email* (required)

15. Primary Phone* (required)

15. Please enter your P.O.S.T number (if applicable)

15. Please enter your California State Bar number (if applicable)

15. Membership Registration Status* (required)

Registrant 16

16. Name* (required)

First Last

16. Preferred Name for Conference Badge* (required)

16. Professional Title* (required)

16. Work Location State* (required)

State / Province / Region Country

16. Email* (required)

16. Primary Phone* (required)

16. Please enter your P.O.S.T number (if applicable)

16. Please enter your California State Bar number (if applicable)

16. Membership Registration Status* (required)

Registrant 17

17. Name* (required)

First Last

17. Preferred Name for Conference Badge* (required)

17. Professional Title* (required)

17. Work Location State* (required)

State / Province / Region Country

17. Email* (required)

17. Primary Phone* (required)

17. Please enter your P.O.S.T number (if applicable)

17. Please enter your California State Bar number (if applicable)

17. Membership Registration Status* (required)

Registrant 18

18. Name* (required)

First Last

18. Preferred Name for Conference Badge* (required)

18. Professional Title* (required)

18. Work Location State* (required)

State / Province / Region Country

18. Email* (required)

18. Primary Phone* (required)

18. Please enter your P.O.S.T number (if applicable)

18. Please enter your California State Bar number (if applicable)

18. Membership Registration Status* (required)

Payment Details

Hidden

Discount Code

Total

Payment Type* (required)

Credit Card

Check

Purchase Order

An Invoice / Purchase Order will be sent to the Registration Coordinator email entered on the first page of this registration request.

Pay by Check Acknowledgement* (required)

I acknowledge that registration will be paid in full within 5 business days after this registration submission date.

Remittance address will be provided in confirmation email.

Purchase Order Acknowledgement* (required)

I acknowledge that this registration will be paid in full within 30 business days after this registration submission date.

Remittance address will be provided in confirmation email.

Please Note:
If your total is $0.00, there is no need to enter your credit card or billing address information. You need only to click the registration button below the payment fields to register.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address

Same as Organization Address (from page 1)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CAPTCHA

Please click the Register Button only once to avoid submitting the form multiple times.