CISA 92nd Spring Conference Meeting Registration Hilton Marco Island Beach Resort, Marco Island, Florida April 18-20th, 2010
Name: E-mail: Guest Name: E-mail:
Company: Phone:
Business Address:
City: State: Zip:
PAYMENT BY CREDIT CARD IS AVAILABLE FOR MEETING REGISTRATION, ASK ABOUT SEPARATE FORM If you need to be invoiced, please check here Payment for registration fees must be received before the meeting.
General Registration - $895.00 Please indicate (check boxes) which activities you will be attending. Note: Inclusive.
Guest/Spouse Registration - $395.00 Please indicate (check boxes) which activities you will be attending. (Needed for meal headcount) Note: These meals are inclusive.
Optional Activities Please check appropriate boxes below.
Guest Program - Monday, April 19 $105.00 You must be registered for the General Registration in order to attend the Guest Program Golf Tournament - Sunday, April 18 Number of Players X $165.00 See separate golf "Handicap" form
TOTAL $ TO BE INVOICED
IMPORTANT NOTE: Registration & Cancellation Deadline is Friday, April 9th, 2010 Cancellations after this date cannot be refunded. members will be responsible for full payment when invoiced.
For additional registrants please make a copy of this form