Executive Seminar

Attendee Information
First Name  
Last Name  
Member #
Mailing Address  
Postal Code  
Phone Number  
Email Address    
Check if applicable   

Registration Information
Are you a BSCAI Member?
On or Before Friday, April 12, 2013 After Friday, April 12, 2013
Member Registration ($385)
$ 385 Member Registration ($485)
$ 485

Attend FREE by registering five people! Register five attendees using this on-line form and fax in a PDF form for the sixth registrant, write "comp" at the top of the sixth registration form.

Optional Events

Please note a full registration must be purchased with any optional events. If you have already purchased a full registration and would like to purchase optional events, please print out a PDF of the form online at bscai.org and fax to headquarters at 312-673-6735 or call headquarters at 800-368-3414.

Additional* Sponsor Hosted Reception Ticket, Friday, May 15: $49 per additional ticket

*Each attendee registrant already receives one ticket. You must purchase additional for guests

   X $50
Golf Tournament
We-Ko-Pa Golf Course, Thursday May 14: $185 per person (Space limited)
   X $ 185

Total Price

Special Requirements
It is important that you enjoy the 2013 BSCAI Executive Seminar. If you have special needs or requirements due to a disability, please check here and we will contact you.

Credit Card Address Information
Once you click 'Submit Registration' your credit card will be charged.
Name on Card  
Billing Street  
Billing City  
Billing Country  
Credit Card Type  
Credit Card Number  
Expiration Date