GAA Winter Conference Registration Form
GAA Winter 2012 Conference Registration
*Download PDF Version of this Form or BUY TICKETS & REGISTER ONLINE NOW!!
Required Information:
Name: _________________________ Degree/Designation: _______________________________
Address: ___________________________________________________________________
City: ___________________________ State: _______________ Zip: _________________
E-Mail Address: ________________________________________________________________
Business Phone: __________________ Home Phone: __________________ Nickname:
Company: __________________________ Web Address:
You will receive an e-mail confirming receipt of your conference registration and payment if an email address is provided above.
Please select your registration amounts: Qty Total Amount
Member Full Registration: $150 each x =_____= _____________
Non-Member Full Registration: $250 each x =_____= _____________
Guest (All Conference Meals): $75 each x =_____= _____________
Guest (Evening Only Events): $35 each x =_____= _____________
GAR Course only: $50 each x =_____= _____________
Monday all events only: $100 each x =_____= _____________
Auctioneer Membership Dues: $100 each x =_____= _____________
Associate Membership Dues: $50 each x =_____= _____________
** Children 16 & under do not require payment
Guests: Please include the names of all guests including children under 16. Please note: guest(s) not registered will not be able to attend events.
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Take advantage of our great sponsorship opportunities!
(see the website for detailed benefits)
❏ Gold Sponsor – $1500 (One Opportunity Available)
❏ Silver Sponsor – $1000 (Two Opportunities Available)
❏ Session Sponsor – $750 (Six Opportunities Available)
❏ Bronze Sponsor – $500 (Four Opportunities Available)
Register for an Exhibitor Booth (Table Top) without a sponsorship
❏ Exhibitor – Table Top Booth – Member $250
❏ Exhibitor – Table Top Booth – Non-Member $350
Total Payment Due (add registration items and any sponsorship or exhibitor items): $______________
Please Select Payment Type and Complete:
Check
Check Number__________________________ Amount ________________________________
Name on Check if Different From Above ______________________________________________
Credit Card: (circle one) Visa or MasterCard
Name on Card ___________________________________________________________________
Card Number __________________________________________________________________
Expiration Date _____________ Security Code ____________ Amount of Charge______________
Billing Address if Different From Above _______________________________________________
Signature _____________________________________________________________________
PLEASE RETURN COMPLETED FORM WITH PAYMENT TO:
Georgia Auctioneers Association
c/o L.W. Benton Company, Inc.
107 Oak Valley Drive
Macon, Georgia 31217
Or email it to us at: Info@GeorgiaAuctioneers.org
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