The Long Company

Name:*
For Badge (if different):*
Company:*
Address:*
Address (cont.d):
City:*
State:*
Zip:*
E-Mail:
Spouse's Name (if attending):
For Badge (if different):
Requested Room Type:
	Single ($375 + tax)
	Double ($375 + tax)
Please provide your arrival/departure information (if available):
Arrival Date:
Arrival Time:
Departure Date:
Departure Time:

I will attend the Federal Reserve Tour on Thursday, Sept. 10th at 11 a.m.? Yes No
Please contact Janine Knetl with any questions at 1.800.400.8615 (Ext. 253) or e-mail jknetl@thelongco.com. You can also fax your registration form to 312.726.4625. LCAC Registration Fee: Due to the current economic environment, The Long Co. has lowered this year's fee to better serve our members. $500 for each attendee Fees will be billed post conference.