After completing this form,
if you elect to not use your credit card, then you must mail your payment to SCPA with separate checks
- one payable to SCPA for the registration fee and any
activity fees and one payable to Charleston Place Hotel
for the $239 room deposit. (Credit card information can
be used for the room deposit for the hotel and SCPA registration
if you prefer.)
Use the Tab key to
move through the form and click the submit button when
you are finished. |
Name: |
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| Name Desired On Name Tag: |
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| Spouse: (If Attending) |
*No SCPA Registration Fee
Required |
Spouse Name Tag: |
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Company: |
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Address: |
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City: |
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State: |
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Zip Code: |
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Business Phone: |
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Fax: |
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E-Mail: |
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Guest of: SCPA
Member:: |
*Please Click for Guest
Information |
Room
Reservation Request and Room Deposit
*Please click here to read details on Rooms
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Arrival Date: |
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Departure Date: |
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Please indicate single or double and,
if double, name of person sharing: |
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Single
Double
Person Sharing
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Room Rates:Package meal plan for Monday banquet & Tuesday
breakfast $190
single, $380 double
Package meal plan for Tuesday reception $60 single, $120 double
Room Deposit is $239.
You may pay by credit card or send your check for $239
for hotel deposit to SCPA . |
Credit Card Type: |
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Credit Card Number: |
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| Expiration Date: |
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| SCPA
Registration |
Number Member @ $250 |
Total
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Number Guests @ $500 |
Total
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Number Non-Member @ $1000 |
Total
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Number Monday culinary tour @ $38 |
Total
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Number Tuesday
harbor tour
@ $40
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Total
Click here for Details |
Number Tuesday Golf @ $140 |
Total
Click here for Details |
Number Ladies Luncheon @ $ 45 |
Total
Click here for Details |
Total Due Registrations:
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If you wish to pay by check rather than using a credit
card, please send to SCPA, POB 7000, Dawson, GA 39842."
**If you are not using a credit card for Room Fees be
sure to include two checks - one made payable to Charleston
Place Hotel for room fees and one to SCPA for
registration fees. |
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