2016 SERC Conference

Richmond (Glen Allen), Virginia

November 4 -5, 2016

Hotel Information

Wyndham Virginia Crossings Hotel & Conference Center

1000 Virginia Center Parkway

Glen Allen VA 23059

Phone: (804) 727-1400

(888) 444-6553

(group: SERC/ESA/Southeastern Regional Council Conference)

Room Block held until Oct 12, 2016

Room Rates:

$119 single/double $129 triple/quad

Reservations may be cancelled 48 hours prior to scheduled arrival without penalty. Reservations cancelled after that time will forfeit a one night’s deposit, except for illness and/or death of attendee or immediate family.

Transportation from Airport--Options Posted on the SERC Website


ESA MEMBER REGISTRATION:

Last Name __________________________________________ First Name _____________________________________________

Address ____________________________________________________________ City ___________________________ State ____

Email _______________________________________________________________ Telephone ______________________________

State Council __________________________________________ Name Tag Needed ____ Yes ____ No (have a name plate)

GUEST REGISTRATION:

Last Name __________________________________________ First Name _____________________________________________

Mark number for all that apply:

______ Full Member Registration (thru 10/12/16) $120.00 _____________

______ Full Member Registration (after 10/12/16) $135.00 _____________

______ Full Guest Registration (thru 10/12/16) $ 90.00 _____________

______ Full Guest Registration (after 10/12/16) $105.00 _____________

______ Tour #1 – Historic Richmond * $ 26.00 _____________

______ Tour #2 – Tour of Monticello * $ 49.00 _____________

______ St Jude Workshop & Bunko* (thru 9/26/16) $ 10.00 _____________

______ St Jude Workshop & Bunko* (after 9/26/16) $ 20.00 _____________

______ Serchette Breakfast (by Invitation only) $ 10.00 _____________

* See tour details on separate page Total Enclosed ____________

Payment Information:

· A $25 fee will be assessed for any returned checks.

· Registration after 10/17/2016 must be cash or cashier’s check.

· Registration cancellation must be in writing and received by 10/17/16.

· A $5 processing fee will be retained on all cancellations.

· Tour & Bunko cancellation must be in writing and received by 9/26/2016.

Special dietary allergies: _________________________________________________________________________________________________________

Check all that apply:

___ SERC Elected Board ___ SERC Appointed Board ___ SERCHETTE ___ State President

___ IC Elected Board ___ IC Appointed Board ___ PICPA ___ ESA Foundation Board

___ New Member (pledge) ___ 1st Time Attendee ___Other (please specify) ______________________________

Make checks payable to: SERC Conference 2016

Mail to : Susan Caldwell email:

3932 Krim Point Way

Midlothian, VA 23114