SOUTHEASTERN MEAT ASSOCIATION ANNUAL CONVENTION

SAVANNAH MARRIOTT RIVERFRONT

June 7-10, 2018

A S S O C I A T E R E G I S T R A T I O N

Mail or Email Completed Form and Payment by May 4, 2018 to: SEMA, P. O. Box 393, Fayetteville, NC 28302

COMPANY:______

ADDRESS:______CITY:______STATE:_____ZIP:______

PHONE:______E-MAIL:______

MEMBERS REGISTRATION FEE INCLUDES: Convention Program, Refreshment Breaks, Friday Lunch, Friday Dinner, Saturday Breakfast, & Saturday Dinner.

Members Name: (Additional attendees list on back. Mark first time attendees with *)

(# Attending)

1.______Members$ 295.00 x _____ = ______

2.______

Spouse/Guest and Children 13 and older:

1.______Friday Dinner$ 65.00 x ______= ______

2.______Sat. Dinner$ 70.00 x ______= ______

Children – Age 6 to 12:

1.______Age ____Friday Dinner$ 50.00 x ______= ______

2.______Age ____Sat. Dinner$ 60.00 x ______= ______

Children – Age 2 to 5:

1.______Age ____Friday Dinner$ 25.00 x ______= ______

2.______Age ____Sat. Dinner$ 25.00 x ______= ______

TABLETOP EXHIBIT(Exhibit Contract must be signed and returned)$ 225.00 ______

Exhibit Electric Usage Fee$ 75.00 ______

SPONSORSHIPS (To help with Receptions, Entertainment, Special Guests & Prizes):

Gold Sponsor$ 500.00 ______

Silver Sponsor $ 250.00 ______

Bronze Sponsor $ 100.00 ______

LADIES - FRIDAY BREAKFAST – Meet & Greet:$ 30.00 x ______= ______

GOLF (includes box lunch & cart fee)Per Player$125.00 x ______=______

Golf will be at Savannah Harbor

1.______Handicap _____

2.______Handicap _____

3.______Handicap _____

4.______Handicap _____

TOTAL PAYMENT $ ______

CHARGE CARD PAYMENTS:

Please print clearly (4% will be added to Total Amount if paying with credit card)

Name on card______Visa ___Master Card___Amer Ex____ Discover____

Card Number______Exp Date______Security Code ______

Zip Code of card______Signature______

Email Address for charge receipt: ______

Please List any food allergies or special dietary needs on the back of the registration form.

REFUND POLICY: 60 Day Notice – Full Refund | 30 Day Notice – ½ Refund | 20 Day Notice – No Refund