Alabama Jewelers Association Saltwater Getaway 2017 - Page 13

2017 AJA SALTWATER REGISTRATION FORM Perdido Beach Resort - Orange Beach, AL October 20 - 22, 2017 CALL TODAY FOR ROOM RESERVATIONS! (800) 634-8001 AJA Special Convention Rates Starting at $152.00 • Booking ID#14556 Name____________________________________ Spouse or Guest(s)_____________________________________ Company__________________________________ Phone____________________ Mobile____________________ Address___________________________________________________________ City___________________________ State____________ Zip________________ Email________________________________________________________ (Please Fill-In ALL Information For Our Files) FULL CONVENTION REGISTRATION #____ @ $85.00 Each = $___________ Full Registration for Children (5-12 Years) #____ @ $30.00 Each = $___________ Total Registration $___________ Full Registration Includes: Hospitality Suite Friday & Saturday Nights, Saturday Night Dinner And Continental Breakfast Sunday Please List Names for Children Badges _______________________________ _______________________________ _______________________________ GOLF TOURNAMENT: Location & Time TBA. If You Would Like To Play Golf We Will Contact You The First Of October. Please Indicate Number of Players _____ Thank You For Including Payment With Your Registration Form! CHECK ENCLOSED _____ Or CREDIT CARD: Visa _____ MC_____ AMEX_____ Please Print Name As It Appears On Credit Card __________________________________________________ Security Code______ Card #__________________________________________ Exp. Date__________ TOTAL $________________ PLEASE PRINT CLEARLY ALABAMA JEWELERS ASSOCIATION Attention: Nancy Dawkins 1848 McFarland Boulevard • Northport, AL 35476 Phone: (205) 526-5710 Email: Alabamajewelers@icloud.com