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Registration Form

Of course, all submitted information is kept in the strictest confidence.
You always retain control of your information with D.W. Simppson & Co.
Our services are always at no cost to you.

Name:

Address:

City: State/Province:

Zip Code:

Country:

Phone: (H) Fax:

Phone: (W) (if able to speak freely)

Email:

Company Name: (optional)

Desired Region: Other:

Professional designations earned:
College Student Actuarial Student ACAS FCAS ASA
FSA EA CFA MBA MAAA FIA FCIA
FIAA Financial Engineer M.S. Ph.D. Data mining Quant

Other
Designations: