Registration Application
for the
SCSPMA
"2010 SUMMER CONFERENCE"
held at
WANDO HIGH SCHOOL
1000 Warrior Way
Mt. Pleasant, SC 29466
beginning on Monday, June 14th, 2010 and continuing through Tuesday, June 15th, 2010.
Conference Events include:
 TRAINING CLASSES, MEALS, DOOR PRIZES and VENDOR BOOTHS that include NEW product demonstrations.
 

Name:__________________________________________________

Job Title:________________________________________________

County:________________________ District:_______________________

Mailing Address:_______________________________________________

 ____________________________________________________________

Phone:______________________ E-mail:________________________________________________

Last six (6) digits of your Social Security Number:_____________________

(used for your permanent ID Number) This will not be given to anyone. We respect your privacy and your ID is secure.

Please check appropriate boxes.

==>  We must know if you will be attending the following.    <===>     Please check all boxes below that apply to you  <==

(     ) Membership - $10 (not able to participate at all during SUMMER conference)
 

(     ) Full Conference Registration ($60 per person ) -  (includes ALL conference events : Membership, Training classes, Vendor demos and FREE MEALS)

For headcount purposes, please indicate if you:

(     ) Will Attend FREE Lunch on Monday, June, 14th

(    ) Will Attend FREE Breakfast on Tuesday, June 15th

****** PLEASE NOTE: (Free meals are only for members who are attending the conference)
 

      TOTAL : $___________________

Mail to:           SCSPMA
                       Connie Ward
                       PO Box 1329
                       Taylors, SC  29687