Cemetery/Firm:

Your Name: Name you want on your badge:

Spouse/Guest: Name for badge:

Address:

City: State: Zip:

Phone: Fax: Email:

Cancellation Policy: Registrants canceling on or before May 25, 2007, are entitled to a refund, less a $50 processing fee.  Registrants canceling after May 25, 2007 are NON-REFUNDABLE.  Substitutions are allowed and encouraged.  All cancellations must be directed in writing to VCA office. 

CONFERENCE FEES     
Fees are listed as: Prior to May 25, 2008 (After May 25th, 2008)

Registration Fees:

Cemeterian $200 ($250)
Number attending

Supplier $350 ($400) - Includes display place
Number attending

Add’l Staff Attending $150 ($200)
Number attending

Spouse/Guest $125 ($150)
Number attending

Children $50 ($75) - Reception and children’s banquet meal
Number attending

Events with Fees at the Conference:

Regulations Training Class for the Compliance Agents **
** Additional forms and fees apply, click here for the applicable information
Golf on Thursday **
** Pay at Course

Total Amount Owed:
After submitting this form you will have an opportunity to pay via check or paypal. Please keep this amount on hand. It will also be available to you in your confirmation email.

Indicate Payment Method: Paypal Check

Please indicate if you will be attending Saturday Night Banquet & Awards Ceremony.

If attending, Please mark your meal selection. Please enter number of meals required, one for each attendee (ex: 2 Crab Cake Dinners)

Tides Inn Signature Crab Cakes
Grilled Marinated Chicken Breast
Carved Prime Rib of Beef au Jus with Horseradish Chantilly
Children under the age of 12