2010 Annual Meeting
 

REGISTRATION FORM
 
Take advantage of our early bird discount!


Contact Information

Name*  

Title

 
           
Company*  
           
Address*  

City

*
           
State *    

ZIP*

 
           
E-mail    

Phone*

 
           
Spouse's Name        
           
*Required information

Registration Fees - Register by March 25, 2010 and save!

               

Total

Member Delegate $999   Non-Member Delegate $1,499  
$1,199 (after 3/25/10)   $1,699 (after 3/25/10)  
                 
Member Spouse  $299   Non-Member Spouse $359  
    $359 (after 3/25/10)       $399 (after 3/25/10)  
                 

A non-member is a company that is a former member or one that has never been a member of Uni-Bell. A former member company may attend the Annual Meeting on a one-time basis only after a three-year period as a non-member. A company that has never been a member may attend the Annual Meeting on a one-time basis only.



Social Activity Highlights and Additional Fees
 

 

Total

  Monday, April 19, 6:00 pm:  Welcome Reception & Dinner/Key West Cookout

included

                 

  Tuesday, April 20, 12:30 pm:  Uni-Bell Golf Tournament**
 

 
Member $279 x (# of players)   Non-Member $379 x (# of players)  
               

   Registrant Golf Handicap

    Spouse Golf Handicap    
               
**Includes box lunch, green fees, shared cart, taxes, transportation and gratuities. Contact hotel for golf club rentals.
               

Total

  Wednesday, April 21, 6:30 pm: Grand Finale/Hawaiian Luau on Tiki Beach
 
(free for registered spouses)
 

Member $159   Non-Member $199  
    $199 (after 3/25/10)       $239 (after 3/25/10)  
               


Accommodation

Call 1800.438.4373 or visit www.marcoislandmarriott.com (group code: PVCPVCA) to reserve your room at the special Uni-Bell room rate of $269 per night.
This special rate is for the block of rooms set aside for Uni-Bell delegates.

Please note that a $500 surcharge will be applied to all registrations received without a hotel confirmation number from the Marriott Marco Beach Resort
.
 

Hotel Confirmation #:    

 

 

 

Total Due

 


Payment        VISA          MasterCard              Check #

Note: If you select Visa or MasterCard as your method of payment, a Uni-Bell representative will get in touch with you to complete your transaction over the phone. We do not accept AMEX or Discover. 

Please make check payable to the “Uni-Bell PVC Pipe Association” and mail to: 2711 LBJ Freeway, Suite 1000 | Dallas, TX 75234.

 

If you would rather fax your registration, simply print  this form, complete it
and fax to 972.243.3907.
For questions, please contact Ms. BJ Walker at 972.243.3902 ext. 1016.