SEBC MEMBERSHIP RENEWAL

To assure your listing in the next Membership Directory (to be published and updated on-line), please provide the information requested below. If you wish to renew your membership by mailing in a printed application along with a check please or credit card information please use the Printable Membership Renewal Form.

 

*Required Information

Professional Information
Name*:
Title:


Business Mailing Address
Address1 :*
Address2:
City:*
State:*
Zip:*

Phone:* (xxx) xxx-xxxx
Fax:
(xxx) xxx-xxxx
Email:

Employer:*

Industry Discipline*
Please select appropriate discipline:

ACCOUNTANT INSURANCE PLAN SPONSER

Health/Welfare

Administrator

ADMINISTRATOR (TPA)

Retirement Plans

Finance

Health/Welfare

Both

Investments

Retirement Plans

Other

Legal

Both

Management

  Other
   
CONSULTANT

INVESTMENTS

ATTORNEY

Actuary

Client Services

Health/Welfare

Consultant

TRUST

Management

Investment Banker

Administration

Retirement Plans

Marketing

Marketing

Other

Portfolio Manager

Other

Trust

Other


Expertise:*
Retirement Plans Health & Welfare Both



Annual membership dues for the Southern Employee Benefits Conference is US $250. Please be sure all professional information is completed above. Upon submitting your renewal request you will be directed to a secure site where you can enter your payment information.

Please view our Privacy Statement and Refund Statement before submitting your registration.

 


Any questions should be directed to the Executive Director at the address below.

Southern Employee Benefits Conference
Attention: Beverly Friez
805 S. Glynn Street
Suite 127 PMB 425
Fayetteville, GA 30214

Phone: (770) 461-0525

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