event registration and product order form (please print)

q Dr. q Mr. q Mrs. q Ms. Name Name on badge (if seminar registrant)

ACFE Member q Yes q No If Yes, Member #: Other Designations (CPA, CA, CIA etc.)

Company Title

Business Address

City State/Province Zip/Postal Code Country Work E-Mail

Home Address

City State/Province Zip/Postal Code Country

Business Phone Business Fax Home Phone Home E-Mail

q Send me your FREE FraudInfo e-newsletter Send correspondence to: q Home q Business Do you require special assistance or accommodations from the ACFE?: q Yes q No

event title CITY/STATE WHERE EVENT HELD date fee

CANCELLATION POLICY — Our cancellation policy is intended to keep costs
low for attendees. Due to financial obligations incurred by ACFE, Inc. you must
cancel your registration prior to the start of the event. Cancellations received
less than 14 calendar days prior to an event start date are subject to a $100
administrative fee. No refunds or credits will be given for cancellations received
on or after the start date of the event. Those who do not cancel and do not
attend are responsible for the full registration fee. Terms and conditions are
subject to change without notice. Visit www.ACFE.com for the latest updates.
NOTE — I understand if I reserve a room at the course hotel, the hotel may
Fee Subtotal
disclose to ACFE non-financial reservation information, (name, dates of stay), Less Early Registration Savings*
for the purpose of updating and confirming the event room block.
Less Multi-Event or Group Savings
*Payment must be received by Early Registration Deadline to obtain savings.
**Must be a life member of the ACFE to receive discount. Life Member Discount
Total Fees

FORMAT/
QTY TITLE/PRODUCT DESCRIPTION SIZE/COLOR UNIT PRICE TOTAL
LANGUAGE

Subtotal
shipping & handling shipping & HANDLING Shipping and Handling (taxable)
(US and CANADA) (INTERNATIONAL)
Sales Tax (in TX only, 8.25%)
Subtotal Ground Two-Day Air Next-Day Air† International
Less 10% Life Member Savings*
$0 - $100 $7 $15 $20
Total Fees
$100.01 - $200 $10 $20 $25 *Must be a life member.
$200.01 - $300 $15 $25 $30 30% of subtotal
These shipping methods apply for US and Canada only.
$300.01 - $500 $20 $30 $35 †
Shipment is a 4:30 p.m. delivery.

Over $500 $30 $40 $45 Ship to: q Home q Business

CFE Exam
$10 $20 $30 $25 UPS will not ship to P.O. boxes. Allow 2-4 weeks for delivery. Customer
Prep Course is responsible for all customs duties and taxes charged on imports,
CFE Exam payable on delivery.
$30 $40 $45 $110
Prep Toolkit
q Ship UPS Ground q Ship Two-Day Air q Ship Next-Day Air

METHOD OF PAYMENT
Charge my (Check one): Cards charged in US dollars Card Number

Cardholder Name (as shown on card, please print) Card Expires (month/year)

Billing Address City/State Country Zip/Postal Code

Signature V-Code (on back of card)

q Purchase order #: _____________________ (Government or educational institutions only, include copy with order)
q Check or money order enclosed (payable to the Association of Certified Fraud Examiners)
q Please bill me (events only)

Please return this completed form by mail or fax to:

All ACFE products are 100%
ASSOCIATION OF CERTIFIED FRAUD EXAMINERS satisfaction guaranteed.
716 WEST AVE • AUSTIN, TX 78701-2727 • USA
TEL: (800) 245-3321 / +1 (512) 478-9000 • FAX: +1 (512) 478-9297
Updated 11/09 • D
WEB: www.ACFE.com • E-MAIL: memberservices@ACFE.com