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2010 Annual Spring Meeting

June 10-13, 2010

Marriott Resort & Spa

Hilton Head, South Carolina

 

Details | Agenda | Faculty | Hotel | Speaker Forms | Attendee Registration

Patrons | Exhibitor Prospectus | Exhibitor Registration | Speaker Presentations & Handouts

 

Patron Registration

Fill in the information to submit your registration. If paying by credit card you will be taken to our credit card processing form when you click continue. If you experience any problems, please contact GCEP at (770) 613-0932 for assistance.

Patron Level
Platinum ($4600.00)
Gold ($3600.00)
Silver ($2600.00)
Bronze ($1600.00)

Contact Information
Company Name: *
Address/Suite: *
City/State/Zip: *
Phone: *
Email Address (for receipt) *

Activities
 We will attend the Friday Night Cocktail Party Number Attending: 
 *NEW EVENT* - Yes, my children will attend the Kids Movie Night from 6:30 to 8:00pm in an adjacent room while I attend the friday night cocktail party Number Chilren Attending: 
 We will attend the Saturday Night Beach Dinner Party** Number Adults: 
Number Children (ages 6-17): 
** (Platinum = 4 tickets, Gold = 3 tickets, Silver = 2 tickets, Bronze = 1 ticket) Open to exhibitors, meeting attendees and their families. Additional dinner party tickets must be purchased unless already included with patron level of choice. Additional dinner party tickets may NOT be purchased at the Bronze Level. Extra tickets are (Adults: $100.00, Children: $50.00)

GCEP Golf Tournament
Friday, June 11, 2010 Arthur Hills Golf Course. Fee is $82 and includes green fee, cart fee, warm up range and tax. You may charge the golf fees to your Marriott Hotel account.
Name:  Handicap: 
Other players in my group or players I'd like to be paired with:
Name:  Handicap: 
Name:  Handicap: 
Name:  Handicap: 
Name:  Handicap: 

Company Representatives
Main Attendee/Badge Name #1:
Cell Phone:
Email Address (for meeting updates)
# of Additional Representatives:
Names on Additional Badges:
** (Platinum = 5 badges, Gold = 4 badges, Silver = 3 badges, Bronze = 2 badges) Additional company representative fees ($200.00) must be purchased unless already included with patron level of choice. Additional representative fees may NOT be purchased at the Bronze Level.

Company Description
Company Description:
** 50-words or less company description. Excludes Bronze Patrons.

Patron Add-Ons - (click to show)
Payment
  Amount Owed:
 
Paying by Credit Card
  Name on Credit Card: *
 
Paying by Check
  Please send check to:
Georgia College of Emergency Physicians
c/o Meeting Registration
6134 Poplar Bluff Circle, Suite 101
Norcross, GA 30092
 
Registration Form Only (I have already paid)

Contract
  I agree to the exhibitor terms and conditions.
Name of Exhibitor Contact: *
Date: *
Note: You must check the box and sign to complete your registration. Registrations without a signed contract are void.
 

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6134 Poplar Bluff Circle | Suite 101 | Norcross, GA  30092

770-613-0932 tel, 305-422-3327 fax, ed@gcep.org