2013 Annual Meeting
2013 Annual Meeting
October 5-8, 2013 Hyatt Regency Hill Country Resort and Spa, San Antonio, TX Special for SIGMA Members! ILMA is offering the ILMA Member registration rate for the 2013 Annual Meeting to SIGMA Members attending the Safety Share Group, October 2-3, and/or the Lubes Share Group, October 4-5 in San Antonio, Texas. To qualify for Early Registration, your registration form and payment must be received by August 23 Use one form to register attendee and spouse/guest Meeting and Sports Tournament registrations are separate forms. Information and registration for Sports Tournaments is available online at www.ilma.org.
1. CONTACT INFORMATION q
Check here if you are a first-time Annual Meeting Attendee PLEASE LIST INFORMATION AS YOU WOULD LIKE IT TO APPEAR ON YOUR BADGE AND THE REGISTRATION LIST Attendee Name:_______________________________________________________________ Nickname for badge: _____________________________ Title:_____________________________________________________ Company: __________________________________________________________ Mailing Address:_______________________________________ City/State/Zip:___________________________________________________________ Phone: ______________________________ Fax: _____________________ Email:___________________________________________________________ Spouse/Guest* Name: _____________________________ Nickname for badge:_ __________________ Spouse/Guest Email:_____________________
4. PAYMENT INFORMATION 2. MEETING REGISTRATION
NO REGISTRATIONS WILL BE PROCESSED WITHOUT PAYMENT
TOTAL SECTIONS 2 & 3 = $
EARLY REGISTRATION THROUGH AUG. 23
AFTER AUG. 23 AND ONSITE
q ILMA Member
$ 845
$ 945
$ _________
q Spouse/Guest
$ 300
$ 300
$ _________
Name as it appears on card:______________________________
2. MEETING TOTAL = $
– – – Credit Card No.:________________________________________ Exp. Date:________________________ Security Code:_________
3. TOURS & ACTIVITIES REGISTRATION
required
Billing Zip Code:_______________________________________
TOUR: Friday, October 4
required
Date: ________________________________________________
q Southwest Research Institute® • 12:45 pm – 4:45 pm q Attendee q Spouse/Guest $25 x ___ people =
$ ________ (No charge for tour; fee is for transportation only.) TOURS: Saturday, October 5
q Cave Walking and Historic Gruene, Texas • Noon – 4:30 pm q Attendee q Spouse/Guest $70 x ___ people = q By Land, Sea and Foot • Noon – 4:30 pm q Attendee q Spouse/Guest $70 x ___ people = q WILMA BOOK CLUB Tuesday, October 8
q Check for above amount payable to ILMA is enclosed q Charge above amount to my: q VISA q MasterCard q American Express
3. TOURS & EVENTS TOTAL = $
$ ________ $ ________ NO CHARGE $ ________
Signature:_____________________________________________ • Complete and FAX to 703-836-8503 or MAIL to ILMA, 400 N. Columbus Street, Suite 201, Alexandria, VA 22314 • For any meeting or registration questions, please call the ILMA office at 703-684-5574. Office Use Only: Batch__________Date__________Init._____________ CF___________________ CS_____________________
ILMA WILL SEND YOUR CONFIRMATION VIA EMAIL WITHIN 10 BUSINESS DAYS. COPY THIS FORM FOR YOUR RECORDS.
October 5-8, 2013 Hyatt Regency Hill Country Resort and Spa, San Antonio, TX Special for SIGMA Members! ILMA is offering the ILMA Member registration rate for the 2013 Annual Meeting to SIGMA Members attending the Safety Share Group, October 2-3, and/or the Lubes Share Group, October 4-5 in San Antonio, Texas. To qualify for Early Registration, your registration form and payment must be received by August 23 Use one form to register attendee and spouse/guest Meeting and Sports Tournament registrations are separate forms. Information and registration for Sports Tournaments is available online at www.ilma.org.
1. CONTACT INFORMATION q
Check here if you are a first-time Annual Meeting Attendee PLEASE LIST INFORMATION AS YOU WOULD LIKE IT TO APPEAR ON YOUR BADGE AND THE REGISTRATION LIST Attendee Name:_______________________________________________________________ Nickname for badge: _____________________________ Title:_____________________________________________________ Company: __________________________________________________________ Mailing Address:_______________________________________ City/State/Zip:___________________________________________________________ Phone: ______________________________ Fax: _____________________ Email:___________________________________________________________ Spouse/Guest* Name: _____________________________ Nickname for badge:_ __________________ Spouse/Guest Email:_____________________
4. PAYMENT INFORMATION 2. MEETING REGISTRATION
NO REGISTRATIONS WILL BE PROCESSED WITHOUT PAYMENT
TOTAL SECTIONS 2 & 3 = $
EARLY REGISTRATION THROUGH AUG. 23
AFTER AUG. 23 AND ONSITE
q ILMA Member
$ 845
$ 945
$ _________
q Spouse/Guest
$ 300
$ 300
$ _________
Name as it appears on card:______________________________
2. MEETING TOTAL = $
– – – Credit Card No.:________________________________________ Exp. Date:________________________ Security Code:_________
3. TOURS & ACTIVITIES REGISTRATION
required
Billing Zip Code:_______________________________________
TOUR: Friday, October 4
required
Date: ________________________________________________
q Southwest Research Institute® • 12:45 pm – 4:45 pm q Attendee q Spouse/Guest $25 x ___ people =
$ ________ (No charge for tour; fee is for transportation only.) TOURS: Saturday, October 5
q Cave Walking and Historic Gruene, Texas • Noon – 4:30 pm q Attendee q Spouse/Guest $70 x ___ people = q By Land, Sea and Foot • Noon – 4:30 pm q Attendee q Spouse/Guest $70 x ___ people = q WILMA BOOK CLUB Tuesday, October 8
q Check for above amount payable to ILMA is enclosed q Charge above amount to my: q VISA q MasterCard q American Express
3. TOURS & EVENTS TOTAL = $
$ ________ $ ________ NO CHARGE $ ________
Signature:_____________________________________________ • Complete and FAX to 703-836-8503 or MAIL to ILMA, 400 N. Columbus Street, Suite 201, Alexandria, VA 22314 • For any meeting or registration questions, please call the ILMA office at 703-684-5574. Office Use Only: Batch__________Date__________Init._____________ CF___________________ CS_____________________
ILMA WILL SEND YOUR CONFIRMATION VIA EMAIL WITHIN 10 BUSINESS DAYS. COPY THIS FORM FOR YOUR RECORDS.
