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Maca Register Test
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Maca Register Test
View the 2019 Annual Registration Brochure
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2019 Annual Meeting Registration Form
* Required Field
1. YOUR INFORMATION
Name
*
First
Last
Name for Badge
*
Spouse's Name
Spouse's Name for Badge
Company Name for Badge
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Phone
*
Email
*
2. RECEPTION INFORMATION
Will this be your first time attending?
Will this be your first time attending?
First Time Attendee
Tuesday Evening Reception
0
1
2
Wednesday Evening Reception
0
1
2
Thursday Breakfast
0
1
2
Additional Requests or Comments
3. REGISTRATION FEE
Includes all MACA meals and programs (except athletic events), but does not include hotel room. The fee is based on the date the payment is postmarked. Resubmit this form for additional registrations.
Member (Individuals) - $545.00 (Aug. 18 - $575.00)
Price:
$575.00
Quantity:
Members (Couples) - $575.00 (Aug. 18 - $605.00)
Price:
$605.00
Quantity:
Non-Members (Individuals) - $850.00 (Aug. 18 - $880.00)
Price:
$880.00
Quantity:
Non-Members (Couples) - $900.00 (Aug. 18 - $930.00)
Price:
$930.00
Quantity:
4. LUNCH FEE
Danforth Plant Science Center Tour & Lunch
$110.00 - 1 Attendee (Aug. 18 - $140.00)
$220.00 - 2 Attendees (Aug. 18 - $280.00)
Please Choose
1 Attendee Industry Tour and Lunch
2 Attendees Industry Tour and Lunch
Name of first attendee for the Danforth Plant Science Center Tour & Lunch
Name of second attendee for the Danforth Plant Science Center Tour & Lunch
5. GOLF FEE
Number of players you will be registering.
Please Choose
1 Player - $110.00 (Aug. 18 - $140.00)
2 Players - $220.00 (Aug. 18 - $280.00)
3 Players - $330.00 (Aug. 18 - $420.00)
4 Players - $440.00 (Aug. 18 - $560.00)
6. GOLF REGISTRATION
List the golfers you are paying for — be sure to include yourself!
Golf 1 Name
Golf 1 Company
Golf 2 Name
Golf 2 Company
Golf 3 Name
Golf 3 Company
Golf 4 Name
Golf 4 Company
Category
Fun Flight
Competitive Flight
Please supply GHIN Handicap Number, Current Handicap Index, OR last five 18-hole round scores.
GHIN Handicap Number (1)
Current Handicap Index (1)
GHIN Handicap Number (2)
Current Handicap Index (2)
GHIN Handicap Number (3)
Current Handicap Index (3)
GHIN Handicap Number (4)
Current Handicap Index (4)
or Last 18-hole round scores
(1)
(2)
(3)
(4)
YOUR TOTAL
$0.00
Are you human?
By sending this form, I agree to have this website store my submitted information so they can respond to my inquiry.
*
I Agree
ADDITIONAL INFORMATION
Pay securely with debit or credit card by clicking the PayPal button below.
PayPal account is not required to make payment.
* REFUND POLICY: Any Refund request must be made in writing and submitted to the MACA office by August 25, 2020. NO REFUNDS after August 26, 2020.
Scholarship
Education
Ambassador Website
Teacher Resources
Mini-Bulk Containers
Pesticide Disposition Flow Chart
Membership
Info
Issues
Affiliate Organizations
2021-2022 Officers & Board of Directors
Members Only
Waste Management
Literature
Hazmat Video Page
Get Access to Hazmat Videos
Member Directory
Issues Review
Contact