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

(*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.