Conference Registration

Please note that a registration must be completed for each person registering for this event. 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.

Personal Information

Name* (required)

First Last

Email* (required)

Enter Email Confirm Email

Mailing Address* (required)

Street Address City State ZIP Code

Business Information

Company Name* (required)

Job Title

Business Address* (required)

Same as Mailing Address (from page 1)

Street Address Address Line 2 City State ZIP Code

Business Phone* (required)

Alternate Email

Alternate Phone

Badge Information

Conference Badge Name

Please enter the name you wish to be on your badge. If left blank, your name will appear as entered in the First/Last Name fields.

Additional Information

I am attending this conference to obtain CA P.O.S.T. or CA MCLE continuing education credits?* (required)

CA P.O.S.T.

CA MCLE

Neither of the above

Please enter your P.O.S.T number* (required)

Please enter your State Bar number* (required)

Payment Details

Type of Registration* (required)

AFA Member

CDI Member

CDAA Member

NICB Member

Coalition Member

SCFIA Member

Non-Member

One Day Registration

Discount Code

Total

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 at below the payment fields to register.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address