Tire Industry Association - Off-the-Road Conference 2008 Registration Form

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2008 OFF-THE ROAD TIRE CONFERENCE REGISTRATION FORM

I. OTHER WAYS TO REGISTER
Mail Tire Industry Association 1532 Pointer Ridge Place, Suite G Bowie, MD 20716-1883.	Phone 301.430.7280, ext. 104 800.876.8372, ext. 104	Fax 301.430.7283
Download this form as a PDF file. (click above to download. Then print it, fill it out and send it to TIA)

II. ATTENDEE INFORMATION

First Registrant:

Title:

Spouse/Guest:

Second Registrant:

Title:

Spouse/Guest:

Company:

Address:

City:

State:

Zip:

Country:

If applicable, please enter International Postal Code into the Zip field above.

E-mail required

1st Reg. Phone:

Fax:

1st Reg. E-mail:

2nd Reg. Phone:

Fax:

2nd Reg. E-mail:

Website:

III. Hotel Information
All attendees must contact the hotel directly to secure a hotel room reservation.
Hotel Reservation Form must accompany your room reservation. Download

ADDRESS
Hapuna Beach Prince Hotel
62-100 Kaunafoa Drive
Kohala Coast, Hawaii 96743
(Big Island, Kona Side)

ROOM RATES
Standard Rooms
Single/Double
All room rates plus tax

Terrace View $212
Partial View $228
Ocean View $249
Premium Ocean View $269
Ocean Front (Limited) $299

CUT-OFF DATE
January 18, 2008

PHONE
866.774.6236 / 808.944.4491 f
(Mention Tire Industry Association/OTR Conference to get Conference Room Rate)

IV. Registration Fees
Registrations received after January 13, 2008, will be charged an additional $100.

TIA Member (First Representative)	$395
TIA Member (Second Representatives)	$295
Nonmember *	$595
Spouse/Guest**	$195
Spouse/Guest**	$195

(*Includes General Sessions, Continental Breakfasts, Dealer/Supplier Lunch, Welcome Reception & Gala Event. **Includes Welcome Reception & Gala Event only.)

V. Dealer/Supplier Lunch
(Included in Conference Registration Fee. Please confirm your attendance.)

First Registrant
I/we will attend the Dealer/Supplier Lunch on Friday, February 23, 2007.
	Total number attending:

I will NOT attend the Complimentary Dealer/Supplier Lunch.

Second Registrant
I/we will attend the Dealer/Supplier Lunch on Friday, February 23, 2007.
	Total number attending:

I will NOT attend the Complimentary Dealer/Supplier Lunch.

VI. Golf tournament/$25,000 Hole-in-one Contest

Hapuna Golf Course -Thursday, February 21, 2008. Shotgun Start: 12:30 p.m.
(Includes transportation, sponsored box lunch and beverage carts)

UPDATE: The first golf course is now full, we have a overflow course available - please contact John Buettner with any questions.

Attendee Golf $150 (First Registrant)

Club Rentals $50
Left	Right

No shoe rental available. Please bring your own shoes | soft spike course.

Spouse/Guest Golf $150

Club Rentals $50
Left	Right

No shoe rental available. Please bring your own shoes | soft spike course.

I will need transportation to and from the Golf Tournament.

Attendee Golf $150 (Second Registrant)

Club Rentals $50
Left	Right

No shoe rental available. Please bring your own shoes | soft spike course.

Spouse/Guest Golf $150

Club Rentals $50
Left	Right

No shoe rental available. Please bring your own shoes | soft spike course.

I will need transportation to and from the Golf Tournament.

Contact John Buettner at 888.754.8372 by February 1st if you have a playing partner or wish to make a special team arrangement.

VII. Totals

Subtotal for Registration Fees

+ Subtotal for Golf

+ Subtotal for Other

= Total Due

V. METHOD OF PAYMENT

Please bill our credit card...

Card Type:

Expiration:

Card Number:

Name On Card:

Amount: $