Alabama Jewelers Association Winter 2017 - Page 13

2018 ANNUAL CONVENTION REGISTRATION FORM Callaway Gardens Hotel & Spa - Pine Mountain, GA April 6 - 8, 2018 CALL TODAY FOR ROOM RESERVATIONS! (844) 361-8446 ASK FOR AL & GA CONVENTION WHEN CALLING AJA Special Convention Rate of $149 Name____________________________________ Spouse or Guest(s)_____________________________________ Company__________________________________ Phone____________________ Cell_______________________ Address___________________________________________________________ City___________________________ State____________ Zip________________ Email________________________________________________________ (Please Fill-In ALL Information For Our Files) FULL CONVENTION REGISTRATION #____ @ $145.00 Each = $___________ Full Registration for Children (5-12 Years) #____ @ $ 80.00 Each = $___________ SATURDAY - Education, Evening Reception & Dinner #____ @ $ 90.00 Each = $___________ SATURDAY - Evening Reception & Dinner ONLY #____ @ $ 75.00 Each = $___________ SUNDAY #____ @ $ 75.00 Each = $___________ - Education & Luncheon Total Registration $___________ ADDITIONAL GUEST(S) ___________________________________________________________________________ GOLF - Saturday April 11th Please Indicate Number of Players _____ Handicap _____ 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 __________________________________________________ Billing Zip Code___________ _ Security Code______ TOTAL $________________ Card #__________________________________________ Exp. Date__________ PLEASE PRINT CLEARLY • NEW ADDRESS • ALABAMA JEWELERS ASSOCIATION Attention: Nancy Dawkins 1848 McFarland Boulevard • Northport, AL 35476 Phone: (205) 526-5710 Email: Alabamajewelers@icloud.com