Energy Valuation Conference

INDIVIDUAL REGISTRATION. [For Group Discounts (same firm) go to Sponsor Registrations page]

The following information is required for EVERY ATTENDEE:*

Individual Registration

Individual Ticket Purchase(Required)

$250 - ASA Members – Online only

$250 - ASA Members – In Person only

$275 - Non-Members – Online only

$275 - Non-Members – In Person only

$500 - Two ASA Members – Online only

$500 - Two ASA Members – In Person only

$550 - Two Non-Members – Online only

$550 - Two Non-Members – In Person only

Group Ticket Purchase(Required)

$225/person - 4 from same Firm = $900

$225/person - 5 from same Firm = $1,125

$225/person - 6 from same Firm = $1,350

$225/person- 10 from same Firm = $2,250

Purchaser's Email Address

Attendee #1 Information

Attendee First Name #1(Required)

Attendee Last Name #1(Required)

Attendee Title #1(Required)

Firm Name #1(Required)

Attendee’s Email #1(Required)

Address of Attendee #1(Required)

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

Attendee's Designation #1(Required)

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #1(Required)

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #2 Information

Attendee First Name #2

Attendee Last Name #2

Attendee Title #2

Firm Name #2

Attendee’s Email #2

Address of Attendee #2

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

Attendee's Designation #2

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #2

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #3 Information

Attendee First Name #3

Attendee Last Name #3

Attendee Title #3

Firm Name #3

Attendee’s Email #3

Address of Attendee #3

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

Attendee's Designation #3

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #3

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #4 Information

Attendee First Name #4

Attendee Last Name #4

Attendee Title #4

Firm Name #4

Attendee’s Email #4

Address of Attendee #4

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

Attendee's Designation #4

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #4

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #5 Information

Attendee First Name #5

Attendee Last Name #5

Attendee Title #5

Firm Name #5

Attendee’s Email #5

Address of Attendee #5

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

Attendee's Designation #5

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #5

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #6 Information

Attendee First Name #6

Attendee Last Name #6

Attendee Title #6

Firm Name #6

Attendee’s Email #6

Address of Attendee #6

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

Attendee's Designation #6

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #6

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #7 Information

Attendee First Name #7

Attendee Last Name #7

Attendee Title #7

Firm Name #7

Attendee’s Email #7

Address of Attendee #7

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

Attendee's Designation #7

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #7

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #8 Information

Attendee First Name #8

Attendee Last Name #8

Attendee Title #8

Firm Name #8

Attendee’s Email #8

Address of Attendee #8

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

Attendee's Designation #8

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #8

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #9 Information

Attendee First Name #9

Attendee Last Name #9

Attendee Title #9

Firm Name #9

Attendee’s Email #9

Address of Attendee #9

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

Attendee's Designation #9

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #9

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

Attendee #10 Information

Attendee First Name #10

Attendee Last Name #10

Attendee Title #10

Firm Name #10

Attendee’s Email #10

Address of Attendee #10

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

Attendee's Designation #10

[Check all that apply]

ASA or Appraiser

CPA or Accountant

CFA or Financial Analyst

PE or Engineer

IIMA or Mineral Appraiser

FEWA or Expert Testifier

Service Provider or Vendor

ASA Attendee Discipline #10

[Check all that apply]

Business Valuation

Machinery & Technical Specialties

Appraisal Review & Management

Real Property

Other

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