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Marco Beach Ocean Resort • June 21 - 24, 2014 2014 Summer Conference Series CONFERENCE REGISTRATION Name__________________________________________ Designation __________________ Membership # ____________________ Club __________________________________________ Title _________________________________________________________ Address _______________________________________ Nickname ____________________________________________________ City ___________________________________________ State______________ Zip_____________ Region ____________________ Phone _________________________ Cell _________________________ Email ___________________________________________ Spouse/Guest __________________________________ Children (Age) ________________________________________________ Is this your first time attending an FLCMAA Conference? o Yes o No ____________________________________________________________________________________________________________ EDUCATION PROGRAM FULL REGISTRATION (includes all education programs) o CMAA Member (postmarked by June 9, 2014) - $295 o CMAA Non-Member (postmarked by June 9, 2014) - $395 o Student Chapter Member – $75 After June 9, 2014 add $100 to all Registration. SINGLE DAY SEMINAR REGISTRATION** o Saturday, June 21, 2014 – $100 o Sunday, June 22, 2014, – $150 o Monday, June 23, 2014 – $100 o Tuesday, June 24, 2014 – $100 **Cannot be combined for multiple day pass. Available for single day registration only. ____________________________________________________________________________________________________________ SOCIAL EVENTS Saturday, June 21, 2014 - Opening Reception #______ Adults - $45 per person $________ #______ Children 6 to 12 years - $20 per person $________ #______ Children 5 and under - complimentary Monday, June 23, 2014 - Marco Resort & Club - Dinner #______ Adults - $95 per person $________ #______ Children age 6 to 12 - $40 per person $________ #______ Children age 5 and under - complimentary REGISTRATION TOTAL Please include totals for each option: Education $___________ Social Events $___________ Total $___________ QUESTIONS Please contact the Florida Chapter office at (561) 691-6849 or via email at info@flcmaa.org. PAYMENT METHOD o Check payable to FLCMAA. Mail to: Florida Chapter CMAA 3330 Fairchild Garden Avenue P.O. Box 33135 West Palm Beach, FL 33420 CANCELLATION POLICY Late fees will be charged for all registrations postmarked after June 9, 2014. Should you need to cancel your education or social event tickets, please make your request via email to: info@flcmaa.org no less than 72 hours in advance of the start of the Conference. No refunds will be offered after this date.

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Marco Beach Ocean Resort • June 21 - 24, 2014

2014 Summer Conference Series

CONFERENCE REGISTRATIONName__________________________________________ Designation __________________ Membership # ____________________

Club __________________________________________ Title _________________________________________________________

Address _______________________________________ Nickname ____________________________________________________

City ___________________________________________ State______________ Zip_____________ Region ____________________

Phone _________________________ Cell _________________________ Email ___________________________________________

Spouse/Guest __________________________________ Children (Age) ________________________________________________

Is this your first time attending an FLCMAA Conference? o Yes o No ____________________________________________________________________________________________________________

EDUCATION PROGRAM FULL REGISTRATION (includes all education programs)o CMAA Member (postmarked by June 9, 2014) - $295o CMAA Non-Member (postmarked by June 9, 2014) - $395o Student Chapter Member – $75

After June 9, 2014 add $100 to all Registration.

SINGLE DAY SEMINAR REGISTRATION**o Saturday, June 21, 2014 – $100 o Sunday, June 22, 2014, – $150 o Monday, June 23, 2014 – $100 o Tuesday, June 24, 2014 – $100 **Cannot be combined for multiple day pass. Available for single day registration only.

____________________________________________________________________________________________________________

SOCIAL EVENTSSaturday, June 21, 2014 - Opening Reception

#______ Adults - $45 per person $________

#______ Children 6 to 12 years - $20 per person $________

#______ Children 5 and under - complimentary

Monday, June 23, 2014 - Marco Resort & Club - Dinner

#______ Adults - $95 per person $________

#______ Children age 6 to 12 - $40 per person $________

#______ Children age 5 and under - complimentary

REGISTRATION TOTALPlease include totals for each option:

Education $___________

Social Events $___________

Total $___________

QUESTIONSPlease contact the Florida Chapter office at (561) 691-6849 or via email at [email protected].

PAYMENT METHODo Check payable to FLCMAA. Mail to:

Florida Chapter CMAA 3330 Fairchild Garden Avenue P.O. Box 33135 West Palm Beach, FL 33420

CANCELLATION POLICYLate fees will be charged for all registrations postmarked after June 9, 2014. Should you need to cancel your education or social event tickets, please make your request via email to: [email protected] no less than 72 hours in advance of the start of the Conference. No refunds will be offered after this date.