REGISTRATION FORM FOR THE ACCS CONVENTION
October 3-5, 2025 - Savannah, Georgia
PLEASE REGISTER ME/US FOR THE FOLLOWING
Number of Attendees = Maximum of 3
*
Please Select
1
2
3
*
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Friday & Saturday All Events (Meals as Listed)
$175.00
$
175.00
Quantity
0
1
2
3
Item subtotal:
$0.00
$
0.00
Friday Events Only (Includes Low Country Boil)
$75.00
$
75.00
Quantity
0
1
2
3
Item subtotal:
$0.00
$
0.00
Saturday Events Only (Includes Banquet)
$125.00
$
125.00
Quantity
0
1
2
3
Item subtotal:
$0.00
$
0.00
ACCS Membership for current year - automatically set to 1
$25.00
$
25.00
Quantity
1
INFORMATION
Name #1 - Include Title
*
Name #2 - Include Title
Name #3 - Include Title
Name #1 - For Name Tag
*
Name #2 - For Name Tag
Name #3 - For Name Tag
Address
*
Street Address / P. O. Box
Apt # (If Applicable)
City
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
If attending Banquet please Indicate Choice for Buffet Entree(s)
Prime Rib- # of Meals
Please Select
0
1
2
3
Baked Chicken - # of Meals
Please Select
0
1
2
3
Fill out above. Make Check Payable for BLUE amount in TAN Box to "ACCS". Check must be received by September 14 - all fees are non-returnable after this date. Send Check Only (without form) to:
Fred Jones, Treasurer, Atlantic Coast Camellia Society, 2056 Dunn Road, Moultrie, GA 31768
You will receive an email at your above address with all of the filled-in information.
Submit
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