Questions? Call AGMA at 703.684.0211 or ABMA at 202.367.1155. For
additional registrants, please make a copy of this form. Register online at www.
agma.org ...
AGMA/ABMA Annual Meeting Registration Form April 25-27, 2013 • Park Hyatt Aviara Resort • Carlsbad, California
For additional registrants, please make a copy of this form. Register online at www.agma.org or www.americanbearings.org OR Complete this form below and fax to AGMA at 703.684.0242. Your confirmation letter will be sent within seven days via e-mail. Name:____________________________________________________________ Nickname/Informal Name:_____________________________________________ Title: ____________________________________________________________ Company: ______________________________________________________ Street Address/P.O. Box: _______________________________________________________________________________________________________________ City:____________________________________________________________ State/Province:________________ Zip/Postal Code:____________________________ Country____________________________________________________________ E-mail:________________________________________________________ Telephone:__________________________________________________________ Fax:__________________________________________________________ Spouse/Guest Name:____________________________________________________ Nickname/Informal Name:____________________________________________ * NEW - Spouse E-mail: ______________________________________________________________________________________________________________
Annual Meeting Registration Fees Before March 15
After March 15
1st Member Registrant
$995
$1095
Total
1st Member Spouse/Guest
$595
$650
Additional Registrant from Company
$895
$950
Additional Spouse/Guest
$595
$650
Golf Tournament Friday, April 26 (1st player) **
$200
$200
Handicap or Average Score: _________
Golf Tournament Friday, April 26 (2nd player) **
$200
$200
Handicap or Average Score: _________
Golf Club Rental (1st player) **
$85/each
$85/each
Specify: Mens or Womens Right or Left
Golf Club Rental (2nd player) **
$85/each
$85/each
Specify: Mens or Womens Right or Left
** Golf fee includes all greens fees, use of shared cart with GPS, driving range on tournament day, box lunch, club storage, all taxes and tips, tournament arrangements and transportation. Golf Deadline April 12, 2013 -- No golf cancellations after this date. A tournament no show is considered a cancellation. Friday Evening Event at Miramar Marine Corps Station
Included in registration fee
Additional tickets for Friday Evening Event at Miramar Canine Companion Tour (Friday afternoon, April 26) Spouse/Guest Jewelry Class (Saturday morning, April 27) Spouse/Guest Lagoon Tour (Saturday morning, April 27)
#______ attending event
#______ Adults ($150/ticket) Included in registration fee $40
n/a
#______ Children ages 3-16 ($50/ticket) #______ attending event
n/a
#______ attending event
n/a
$40 Included in registration fee
TOTAL AMOUNT DUE
Planning Questions
Payment
q Check Here if this is your first AGMA/ABMA Annual Meeting
q Check Enclosed (Made payable to AGMA)
q Check here if you need special arrangements or accommodations and AGMA will contact you. Dietary Restrictions: ____________________________________________ Cancellation Policy: Payment must accompany this form. All cancellations must be in writing and received by AGMA prior to March 25, 2013 for a refund, minus a $150 processing fee. Cancellations received after March 25, 2013 will not receive a refund. Registration and attendance at AGMA events constitutes an agreement by the registrant to permit AGMA’s use and distribution (both now and in the future) of the attendee’s image or voice in photographs, videos, electronic reproductions of such events and activities.
q Credit Card (AMEX, Discover, Master Card or Visa) Credit Card No. Exp. Date Print Name on Card Signature Questions? Call AGMA at 703.684.0211 or ABMA at 202.367.1155
