2013 - FMA Participant Registration Form Excel.xlsx

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2013 - FMA Participant Registration Form Excel.xlsx Powered By Docstoc
					                                                                Meeting Registration Form
                                                        Winter Meeting - January 24th & 25th, 2013
                                                               Sheraton - Lake Buena Vista
      Book your room at the Sheraton NOW @ 800-423-3297 - $129.00 per night while rooms last! CODE: FMA

Company Information
         Contact:

        Company:

         Address:

      City, ST, ZIP

           Phone:

           E-mail:

                                                  Registration Fees
       Registration closes January 14th, 2012. Please choose the package that best suits your needs.
                                Late fees will apply after January 14th, 2012.

                        Full Registration includes ALL meetings and activites on Thursday & Friday.


                                                                         Early Bird         After 1/14/2012
                      Full Registration (Per Person - FMA Members)        $185.00                 $215.00
                      Full Registration (Per Person - Non Members)        $205.00                 $235.00


                           Meeting ONLY Registration includes Friday meals and activities only.


                                                                         Early Bird         After 1/14/2012
        Meeting Only Registration (Per Person - FMA Members)               $95.00                 $125.00
        Meeting Only Registration (Per Person - Non Members)              $115.00                 $145.00


         Dinner ONLY Registration includes Thursday night Cocktail Party, Dinner, and Entertainment Only.


                                                                         Early Bird         After 1/14/2012
          Dinner Only Registration (Per Person - FMA Members)             $115.00                 $145.00


                                 Golf Tournament @ Grand Cypress Golf Club

                                                                         Early Bird         After 1/14/2012
                            18 Holes on the Links at Grand Cypress        $125.00                 $150.00
                                                       Meeting Registration Form - Page #2
                                                      Winter Meeting - January 24th & 25th, 2013
                                                             Sheraton - Lake Buena Vista


                               New for 2013 - FRIENDS OF THE FMA
        Check Here!                               $500.00 Sponsorship
         In an effort to raise additional money needed for the meeting we are asking for couriers who support
              the FMA that would like to be recognized on printed material and throughout the venue to
                                      donate $500.00 to help benefit the association.
Registrants
      Registrant #1                                           Registrant #2
               Title                                                  Title
              Phone                                                  Phone
              E-Mail                                                 E-Mail


      Registrant #1                                           Registrant #2
               Title                                                  Title
              Phone                                                  Phone
              E-Mail                                                 E-Mail




                                                                    QTY       E.B. Price   14-Jan          Total

                             Full Registration (FMA Members) -                $185.00      $215.00                 -

                        Full Registration (FMA Non-Members) -                 $205.00      $235.00                 -

      Meeting Only Registration (Per Person - FMA Members) -                   $95.00      $125.00                 -

      Meeting Only Registration (Per Person - Non Members) -                  $115.00      $145.00                 -

        Dinner Only Registration (Per Person - FMA Members) -                 $115.00      $145.00                 -

                        18 Holes on the Links at Grand Cypress -              $125.00      $150.00                 -

                                           Friends of the FMA -               $500.00      $500.00                 -

                                                           Total                                                   -



                                Please return completed forms & payments to:
              Florida Messenger Association, Attn: Registration, 386 NE 191 Street, Miami, FL 33179

          If you have any questions regarding the meeting venue or hotel questions, please contact
                       Thomas Jowers @ (407) 908-4025 or thomasj@adldelivery.com

				
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