Name Organization Street Address City, State, Zip
It’s Not Too Late to Register … 2017 Florida ATSSA Chapter Meeting and Golf Outing Wednesday, November 15 – Thursday, November 16, 2017 Plantation on Crystal River 9301 W Fort Island Trail Crystal River, FL 34429 Schedule of Events Wednesday, November 15 11AM –Noon Golf Registration, located at the Club House 12:02PM Shotgun start at (12:02PM) Includes Box Lunch Following the tournament, join us for cocktail hour at the hotel lounge (cash bar) Thursday, November 16 8AM – 9AM Breakfast Buffet 9AM – 1PM Chapter Meeting 1PM Lunch *Please choose selection* Grouper Flank Steak
Hotel Accommodations Call 800-632-6262 to reserve *Hotel will add Resort Fee of $14.00 per night to the guestroom rate* Golf Course Website: Click Here | Hotel Website: Click Here | Resort Activities Brochure: Click Here Attendee Registration
Name Organization Street Address City, State, Zip Primary Phone Email
SPONSORSHIPS
Sponsorships- Meeting & Golf Recognition Includes your company Hole Sponsor Tournament Sponsor
Fee $150.00
name at tee Includes name on tournament sponsor board, recognition at tournament, reception hole sponsorship and chapter website.
Sub Total
$250.00
reduced private sector player rate of $50 per player *You must be a tournament sponsor to get this rate*
Golf Registration Private Sector Rate
$85.00
Includes round of golf, cart, range balls, long drive and closest to pin contests and box lunch (NON-DOT) Public Sector Rate
$40.00
Includes round of golf, cart, range balls, long drive and closest to pin contests and box lunch Names of Golfers Check box to play together
Handicap
-
18 Hole Average
or-
Thursday November 16 Chapter Meeting
Chapter Meeting 9AM – 1PM Enter number (#) of meeting attendees Breakfast & Lunch ( Flank Steak or Grouper ) Private Sector Breakfast & Lunch ( Flank Steak or Grouper ) Public Sector Vendor Display Table
Fee $95.00 $60.00
# Sub Total
$200.00
Grand Total PAYMENT INFORMATION Pay by Credit Card or Check Credit Card Number Name on Card Expiration Date Signature Or make checks payable to ATSSA and send registration form and payment to: MAIL FAX PHONE EMAIL American Traffic Safety Services (540)368-1717 (800) 272-8772 [email protected] Association 15 Riverside Parkway, Suite 100, Fredericksburg, VA 22406-1077 For questions or comments contact your chapter liaison Gail Remy, Associate Director, Membership Engagement Email: [email protected] | Phone: 540-376-3881
Hotel Accommodations Call 800-632-6262 to reserve *Hotel will add Resort Fee of $14.00 per night to the guestroom rate* Golf Course Website: Click Here | Hotel Website: Click Here | Resort Activities Brochure: Click Here Attendee Registration
Name Organization Street Address City, State, Zip Primary Phone Email
SPONSORSHIPS
Sponsorships- Meeting & Golf Recognition Includes your company Hole Sponsor Tournament Sponsor
Fee $150.00
name at tee Includes name on tournament sponsor board, recognition at tournament, reception hole sponsorship and chapter website.
Sub Total
$250.00
reduced private sector player rate of $50 per player *You must be a tournament sponsor to get this rate*
Golf Registration Private Sector Rate
$85.00
Includes round of golf, cart, range balls, long drive and closest to pin contests and box lunch (NON-DOT) Public Sector Rate
$40.00
Includes round of golf, cart, range balls, long drive and closest to pin contests and box lunch Names of Golfers Check box to play together
Handicap
-
18 Hole Average
or-
Thursday November 16 Chapter Meeting
Chapter Meeting 9AM – 1PM Enter number (#) of meeting attendees Breakfast & Lunch ( Flank Steak or Grouper ) Private Sector Breakfast & Lunch ( Flank Steak or Grouper ) Public Sector Vendor Display Table
Fee $95.00 $60.00
# Sub Total
$200.00
Grand Total PAYMENT INFORMATION Pay by Credit Card or Check Credit Card Number Name on Card Expiration Date Signature Or make checks payable to ATSSA and send registration form and payment to: MAIL FAX PHONE EMAIL American Traffic Safety Services (540)368-1717 (800) 272-8772 [email protected] Association 15 Riverside Parkway, Suite 100, Fredericksburg, VA 22406-1077 For questions or comments contact your chapter liaison Gail Remy, Associate Director, Membership Engagement Email: [email protected] | Phone: 540-376-3881
