GCSAA 2009 Conference Brochure - (Page 52) REGISTRATION A confirmation will be sent within 10 business days of receipt of complete registration. REGISTRATION FORM A-1 (Forms A-1, A-2 and A-3 must be submitted together.) NEW ORLEANS 2009 FOR OFFICE USE ONLY How to Register There are three easy ways to register for the conference: 1. Online at www.gcsaa.org/conference 2. Fax completed registration forms with credit card payment information to 785.832.3628 3. Mail completed registration forms with check, money order or credit card payment to: GCSAA Registration P.O. Box 219004 Kansas City, MO 64121-9004 Online registration is the quickest and most convenient way to register. Go to www.gcsaa.org/conference. Registrant A Information GCSAA Member Number (if applicable) Send credentials for this meeting to: Send other mail from GCSAA to: ■ Home ■ Home ■ Business ■ Business First Name Home Address: Street Address or P.O. Box City Country Middle Initial Last Name Business Name State ZIP Street Address or P.O. Box City State ZIP ( ) Country Telephone E-Mail Emergency Contact Name & Telephone Number ( ( Fax ) ) Telephone Job TITLE:(Please checkthe category below thatthat best describes your job title.) JOB Title: (Please check the category below best describes your job title.) ■ Golf CourseSuperintendent ■ Distributor ■ Golf Course Superintendent ■ Distributor ■ Assistant GC Superintendent ■ Green Chairman Assistant GC Superintendent Green Chairman Club/Course Owner/Operator Student ■ Club/CourseOwner/Operator ■ Student ■ Club President ■ Media ■ Club President ■ Media ■ Other Golf Course Management ■ Other ■ Other Golf Course Management ■ Other ■ Company Representative ■ Company Representative ■ Check here if you DO NOT want to be listed in our online Attendee Directory. ■ Check here if you are a first-time attendee. ■ ADA assistance: Provide a letter indicating specific ADA requirements. GCSAA staff will contact you to discuss setting up services to accommodate your needs. Registration Options See previous page for full descriptions. ADVANCE FEES STANDARD FEES Thru Jan. 15, 2009, 5 pm CST After Jan. 15, 2009 $275 $400 Comp. Comp. Comp. Comp. $275 $175 $375 $500 Comp. Comp. Comp. Comp. $375 $175 FULL-CONFERENCE PACKAGES ■ 1001 GCSAA Member ■ 1002 Nonmember COMPLIMENTARY FULL-CONFERENCE PACKAGES ■ 1004 New Member (GCSAA will confirm) ■ 1005 Student Member ■ 1006 Retired/Educator Member ■ 1007 Media SPECIAL REGISTRATION OPTIONS ■ 1003 Course Management/Staff attending with superintendent* ■ 1008 Golf Course Owner/Employer attending with superintendent* Badge Information Please print the following information as you wish it to appear on your badge. Nickname (First and last name will appear as it is in the Registrant Information section) Course/Company Name City, State * If selecting 1003 or 1008, you must fill in the name and GCSAA member number of the superintendent with whom you are attending. The superintendent’s registration form must be submitted at the same time as yours. Golf Course Superintendent’s Name Member Number SAMPLE BADGE Joe Joseph L. Smith Cross Creek Country Club Lawrence, KS TRADE SHOW ONLY OPTIONS ■ 1009 Trade Show Only Pass ■ 1010 Distributor Trade Show Pass $175 $175 $225 $225 GIS Register at www.gcsaa.org/conference 021907 012809 49 http://www.foleyunited.com http://www.foleyunited.com
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