Tire Industry Association - Off-the-Road Conference 2009 Registration Form

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2009 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:

Child:

Second Registrant:

Title:

Spouse/Guest:

Child:

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.

Hyatt Regency Hill Country Resort & Spa
9800 Hyatt Resort Drive
San Antonio, Texas

ROOM RATES
Single/Double $205
All room rates plus tax

CUT-OFF DATE
January 18, 2009

PHONE
800.233.1234
(Mention Tire Industry Association/OTR Conference to get Conference Room Rate)

IV. Conference Registration Fees
Registrations received after January 13, 2009, will be charged an additional $100.

TIA Member (First Representative) *	$395
TIA Member (additional Representatives) *	$295
Nonmember *	$595
Spouse/Guest**	$195
Spouse/Guest**	$195
Children 12 and under**	$95
Children 12 and under**	$95
Spouse Program (1st Representative)	$40
Spouse Program (2nd Representative)	$40

(*Includes General Sessions, Breakfasts, Dealer/Supplier Lunch, Welcome Reception & Gala Event. **Includes Welcome Reception & Gala Event only. Must be registered to attend.)

Spouse Program - Thursday, February 19, 2009
From Artisan’s Alley to El Mercado Day Tour
A motor coach will arrive at Hyatt Regency Hill Country Resort & Spa and take you for a short drive to the unique Artisan’s Alley. This hidden treasure trove, made from old railway cars and buildings is a shopper’s delight. Guests can explore specialty boutiques, candle shops, paper stores, one of a kind jewelry shops, and much more. After we re-board your motor coach, it’s back downtown for more shopping as our experienced Capers’ tour guide enlightens your group on some of the history that makes up San Antonio. El Mercado, or Market Square, is our final destination for the ultimate shopper’s afternoon. This is the oldest and largest Mexican Market north of the Mexican border. In addition to the market stores, there are other merchants and art galleries along the square. Price: $40.00 per person (Includes transportation, taxes and gratuities)

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 20, 2009.
	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 20, 2009.
	Total number attending:

I will NOT attend the Complimentary Dealer/Supplier Lunch.

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

Hill Country Golf Club -Thursday, February 19, 2009. Shotgun Start: 12:30 p.m.
(Includes sponsored box lunch and beverage carts)

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.

Additional Registrant Golf $150

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.

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

= Total Due

V. METHOD OF PAYMENT

Please bill our credit card...

Card Type:

Expiration:

Card Number:

Name On Card:

Amount: $

Registration Packets will be available for pick-up at the conference.
Registration fees will not be refunded if cancellation is within 30 days prior to conference.