St.
Augustine, January 21, 2006
(Registration and Payment must be RECEIVED by January 13, 2006)
Cape Canaveral, February
11, 2006 (Registration and Payment must be RECEIVED by February 3, 2006)
Orlando,
March 25, 2006
(Registration and Payment must be RECEIVED by March 17, 2006)
Kissimmee, April 8,
2006 (Registration and Payment must be RECEIVED by March 31, 2006)
Name:
Legal Name of Association:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Home Phone #:
E-Mail Address : (all confirmation and reminder
notices are sent via e-mail)
Important: All e-mail addresses are regarded strictly confidential is
not disseminated to any outside source. Confirmation and Reminder
notices will be addressed to one of our firm's e-mail addresses with a
"blind" copy to your e-mail address. This ensures that your e-mail
address is not viewed or used by any other party.
Type of Guide book wanted
Book Form
CD
Does your Association have to pay Mandatory Assesments?
Yes
No
(if more than one director is attending, this section
must also be completed and returned)
The following Directors from my Association
will also be attending:
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
***************************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
*******************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
********************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
*******************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
***********************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
*************************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
********************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
*********************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
**************************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code:
********************************
Name:
Title:
Select a Title
President
Vice President
Secretary
Treasurer
Director
Other (please indicate:
Term Expires Month
and Year:
Select a Month
January
February
March
April
May
June
July
August
September
October
November
December
Select a Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Day Phone Number:
Day Fax Number:
E-mail address (all confirmation and reminder notices
are sent via e-mail):
Home Address:
City, State, Zip Code: