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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

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

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  
$   + Subtotal for Other  
$   = 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.