Congress Registration Form Congress Registration Form CARAIFA's 38th Annual Sales Congress Princess Hotels & Resort Green Island, Hanover Jamaica May 2nd - 6th, 2027 Please complete this form to Register Personal Information PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *Email Address *Confirm Email Address *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweMobile *WorkCompany *Agency/Branch *Please indicate size of your Congress Polo Shirt *Select Polo SizeExtra SmallSmallMediumLargeExtra LargeXXLXXXL Personal Information How many years have you been in the Insurance Business?Designation AttainedLUTCFFSSFSCPCLUChFCFLMIOtherOther DesignationsIf you wish, please indicate any Allergies, Critical Medical Conditions or Prescribed MedicationEmergency Contact's Name *Emergency Contact's Phone * Registration & Payment Information A separate registration form must be completed for all roommates participating in congress activities.Registration and Payment Deadline *Choose the deadline, by which time your registration fee must be paid in full.Select DeadlineEarly - before December 31st, 2026Regular - before March 15th, 2027Late - After March 15th, 2027Early Bird OccupanciesSingle Occupancy - $2,700 USDDouble Occupancy - $2,100 USDTriple Occupancy - $1,850 USDCongress Registration Payment Due$USDRegular OccupanciesSingle Occupancy - $3,000 USDDouble Occupancy - $2,400 USDTriple Occupancy - $1,950 USDCongress Registration Payment Due$USDLate OccupanciesSingle Occupancy - $3,300 USDDouble Occupancy - $2,700 USDTriple Occupancy - $2,300 USDCongress Registration Payment Due$USDGuest Name *Roommate Name *Roommate CompanyRoommate Name (2) *Roommate Company (2)Please indicate your payment method *SelectSalary DeductionBank TransferDebit CardCredit Card Congress History Did someone encourage you to attend this Congress? *SelectYesNoReferrer's Name *Are you a first time Congress attendee? *Select Attendee StatusYesNoIf No, please select which congresses you have attended *2025 Barbados2024 Dominica2023 Jamaica2019 Belize2018 Jamaica2017 Barbados2016 Antigua2015 Trinidad & Tobago2014 Jamaica2013 Dominica2012 Belize2011 Grenada2010 Jamaica2009 Trinidad & Tobago2008 Barbados2007 St. Lucia2006 Jamaica2005 Dominica2004 Antigua2003 Grenada2002 Belize2001 Trinidad & Tobago2000 Jamaica1999 Dominica1998 Belize1997 Triniidad & Tobago1996 Barbados1995 Jamaica1994 Grenada1993 Bahamas1992 Barbados1991 Jamaica1990 Curacao1989 Trinidad & Tobago1988 BarbadosPlease indicate if you have served in any of the capacities belowCARAIFA ExecutiveCompany ExecutiveMDRT RepresentativeCARAIFA Hall of FamerCARAIFA Past PresidentTerritory PresidentTerritory Past PresidentOtherOther Capacities Submit Registration!Save as Draft
