Full Registration

Name*

Bank*

Title/Position*

Email*

Website*

Address*

Business Phone*

Cell Phone*

Bio Information

Brief Bio*

Brief bio (under 100 words) OR fill in the fields below and we will create a bio based on your information. This bio will be used in the participant directory available to all Academy participants.

Professional Designations*

Education*

Background in banking*

Hobbies/Interests/Family*

Annual Conference Information

AEL participants are responsible for hotel and travel arrangements.*

Evening Reception: February 4, 2026, Conference: February 5 & 6 Tempe, Mission Palms Hotel, Tempe, AZ

Yes, register me for the annual conference • February 6-7, 2025 • Tempe Mission Palms Hotel, Tempe AZ

No, I am unable to attend the conference

Guide Information

Guide webinars are scheduled for Thursdays at 10 am (Central). We will notify your Guide of the webinar schedule.

Name

Email

Years at bank

Position/title

Guide Address

Address is same as above

Guide Address

Administrative contact

This is the primary contact at the bank for billing or other administrative purposes (optional).

Name

Email

Position/title

Admin Address

Address is same as above

Guide Address

Pricing Information

Three annual payments of $3,295 due by October 1, 2024, 2025, and 2026. ($3,595 if registering after October 1)

Payment Information*

Check- Please make check payable to Cain Ellsworth & Company, LLP, 1008 3rd Avenue, Sheldon, IA 51201

Invoice me

Credit card (There will be an additional 3% processing fee) To pay by credit card, contact our office at (712) 324-4614 or [email protected]

Application Process: Please email this form along with a photo (head and shoulders only) to [email protected]. The photo will be used in the participant bio and should be printable at a minimum of 2 x 2.75 inches (or 400 × 550px).

Cancellation Process: Participants will be refunded their registration fee in full if we are notified of their withdrawal in writing by October 15, 2024.

Full Registration

Please use the registration form below to get started today!

Bio Information

Annual Conference Information

Guide Information

Administrative contact

Pricing Information