Member Section

ANNUAL STATE CONFERENCE - REGISTRATION

Use the form below to register. If you prefer, print out this form and mail it with check payable to SEAoT to: SEAoT State Conference, 6913 Poncha Pass Austin TX 78749

CONFERENCE REGISTRATION
First Name*: (required field)
Last Name*: (required field)
Name on Badge
SEAoT Member
Please select from the drop down   (Select from drop down if you are a sponsor with a complimentary pass or, presenter)
Company* (required field)
Address1* (required field)
Address2:
City*   (required field)
State* (required field)
Zip Code* (required field)
Tel:*:     Fax
Email*: (required field)
T-Shirt Size
Optional FRIDAY NIGHT Banquet ticket
COMPANION - Complete ONLY if you are bringing a spouse/companion and wish to register them for the Friday
Companion's day program. (Cost is $100 per participant)
First Name of Companion
(See above - Friday program)
Last Name of Companion
Optional FRIDAY NIGHT Banquet ticket for companion (Banquet tickets are $60.00) Click here for vegetarian
BANQUET - You may purchase ADDITIONAL tickets for the banquet (in addition to any specified above)
Select number of additional tickets you want
CONFERENCE SPONSORSHIP - We hope you will also sponsor the conference
Sponsorship Category
GOLF TOURNAMENT
$100 per player
Player 1 Hcp
Player 2 Hcp
Player 3 Hcp
Player 4 Hcp

GOLF SPONSORSHIP

 
Sponsorship Category
Spam Stopper* Please enter the sum of 7+200+7600 (This is to prevent spam bots) (required field)
 
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