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2019 Annual Conference

Registration/Sponsor Form
OCTOBER 21-24, 2019 • THE RITZ-CARLTON, NAPLES, FLORIDA

 

1. Registrant & Spouse Information

Registrant
First Name*
Last Name*
Company*
Address*
Address 2
City*
State/Province
Postal Code
Country
Phone* ( ) -
Email*
Preferred First Name on Badge*  
Spouse
First Name
Last Name
City
State/Province
Preferred First Name on Badge
Arrival and Departure Dates

The Conference begins Monday, October 21st with registration and Welcoming Dinner and runs through noon Thursday, October 24th
Arrival Date*
Departure Date*
2. Registration Fees
Full refund of the registration fee will be made if notice of cancellation is received by September 13, 2019. One-half of the fee will be refunded if requested by October 4, 2019. After October 4, 2019, no refunds will be made.
STA Member Only @ $750.00 ea
STA Member with Spouse @ $1,000.00 ea
Non STA Member @ $1,500.00 ea
Non STA Member with Spouse @ $1,750.00 ea
STA Honorary Member @ $0.00 ea
3. Sponsorship Contribution
If you do not wish to be a sponsor, please leave the fields below blank.
Platinum Sponsor @ $10,000
Gold Sponsor @ $5,000
Silver Sponsor @ $3,000
Bronze Sponsor @ $1,500
4. Buffet Luncheon with Vendor Exhibits
If you do not wish to be a vendor exhibitor, please leave the fields below blank.
Vendor Exhibitor (non-Sponsor) @ $1,500.00 ea
Vendor Exhibitor (already a Sponsor – no fee) @ $0.00 ea
5. Events Participation
Please indicate the number of participants.
Is this your first STA Conference? (yes or no)
Monday, October 21st Welcome Reception & Dinner participants

Tuesday, October 22nd Small Agents Info-Social

participants

Tuesday, October 22nd New Employee Training

participants
Wednesday, October 23rd Buffet Luncheon with Vendor Exhibits participants
Wednesday, October 23rd Open Forum participants
Wednesday, October 23rd Reception & Buffet Dinner participants
6. Golf Tournament on Tuesday, October 22nd
Tournament $128 and club rental $50 fees will be billed to your room.
Name of Participant
Handicap
Name of 2nd Participant
Handicap of 2nd Participant
Rent Right Handed Clubs
Rent Left Handed Clubs
No Club Rental
I would like to be paired with the following players:
Player Name 1
Player Name 2
Player Name 3

Total


$0







If you have any questions or concerns, please contact Carol Gaffney at 908-693-4081  cgaffney@stai.org or John Gaffney at 732-241-8414 jhgaff3@aol.com