Registration Form - Georgia Cemetery Association

Georgia Cemetery Association
Annual Convention & Exhibits
Friday - May 15th, 2015 ~ Hyatt Atlanta Perimeter at Villa Christina
REGISTRATION FORM
You are also invited to join our Vendors, GCA Board of Directors, Speakers and other
Attendees for a causal “Meet & Greet” reception on Thursday, May 14th from 6 to 8 PM.
Please use a separate Registration Form for each person.
If additional forms are needed please copy or call us and we will email them.
Please print or type name exactly as you wish it to appear on your name badge. Thank you
Name:________________________________________________________________________________
Cemetery/Company Name:______________________________________________________________
Address:______________________________________________________________________________
City, State, Zip:_________________________________________________________________________
Phone: (_____)__________________________Email:__________________________________________
Check ONE only below
(Suppliers – use Exhibitor & Sponsorship Form only)
___ Full Registration – GCA Member - ……………………………………………………….……………
$189.00
___ Full Registration – Non GCA Member………………………..………………………..…….………
$229.00
Early registration discount – deduct $20 from the appropriate fee if registration with payment is received by April 15th.
Cancellation Deadline: April 30th to qualify for refund
Mail completed Registration Form and Check Payments to:
Georgia Cemetery Association
P.O. Box 681054
Marietta, GA 30068
For Credit Card Payments or Need Assistance, contact
Executive Director - Susan Mena (770) 490-6810 or Email: GeorgiaCemeteryAssoc@msn.com
Make your Hotel reservations early and save
GCA has negotiated a special rate at the Hyatt Atlanta Perimeter at Villa Christina - For Reservations call
678-539-1234 or online at https://resweb.passkey.com/go/georgiacemeteryassociation
Group Code: Georgia Cemetery Assoc ~ Negotiated rate- $139. Limited time frame on Room Block