2022 SSA Convention Coral Gables
October 11th through 13th
CONTACT INFORMATION
Full Name:
*
First Name
Last Name
Nickname:
Nickname
Company Name:
*
Job Title:
Phone Number
*
Please provide your preferred contact phone number.
Email
*
Type of Registration (Please choose ONE option per delegate. Each delegate must fill out a unique registration form.)
*
Repair Shop - Primary Delegate
Repair Shop - Secondary Delegate
Supplier Registration - All Delegates
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will a spouse/guest be attending? (Cost is $200.00)
Yes
No
Will you be bringing more then one guest? If yes, we will be in touch with you for contact information and additional pricing.
Yes
No
CONTACT INFORMATION FOR SPOUSE/GUEST:
First Name
Last Name
Nickname:
Nickname:
Phone Number
Please enter a phone number.
CLOSING RECEPTION DINNER OPTIONS - 10/13/22:
The closing reception will be held on Thursday October 13th from ????
Please choose one of the following dinner entrees:
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Filet Mignon
Coriander Crusted Corvina
Chicken Breast
I will not be able to attend.
Please choose one of the following dinner entrees for your spouse/guest:
*
Filet Mignon
Coriander Crusted Corvina
Chicken Breast
I will not be able to attend.
GOLF OUTING - 10/11:
The golf outing will be on Tuesday, October 11th with an 10:00 EST start time at the Biltmore Golf Course in Coral Gables.
Will you be golfing on Tuesday October 11th? (COST is $195.00)
Yes
No
If yes, please choose your golf outing Boxed Lunch (Chips, country potato salad and macadamia white chocolate chip cookie included.)
Italian sub with cured ham, provolone cheese, genoa salami& marinated onions
Roast turkey on a baguette, lettuce & tomato
Greek salad wrap, cool crisp greens, cucumber, tomato, feta cheese, kalamata olive spread & herb oil
Will your spouse/guest be golfing on Tuesday October 11th? (COST is $195.00)
Yes
No
If yes, please choose your golf outing Boxed Lunch for your spouse/guest (Chips, country potato salad and macadamia white chocolate chip cookie included.)
Italian sub with cured ham, provolone cheese, genoa salami& marinated onions
Roast turkey on a baguette, lettuce & tomato
Greek salad wrap, cool crisp greens, cucumber, tomato, feta cheese, kalamata olive spread & herb oil
Will you need to rent golf clubs? (COST is $76.50)
Yes - Right Handed
Yes - Left Handed
No
Will your spouse/guest need to rent golf clubs? (COST is $76.50)
Yes - Right Handed
Yes - Left Handed
No
Miami Vice Boat Tour Friday 10/14/22:
Ride Miami’s only boats that provides sightseeing + attraction altogether! During this 45-minute Speedboat tour, you are provided with an ultimate sightseeing experience of Biscayne Bay, City of Miami Beach, Fisher Island, and a tour of the Mansions on Star Island. Be ready to take pictures of the beautiful Downtown Miami Skyline.
Will you be attending the Miami Vice Boat Tour Friday 10/14/22? (COST is $50.00)
Yes
No
Will your spouse/guest be attending the Miami Vice Boat Tour Friday 10/14/22? (COST is $50.00)
Yes
No
Would you be interested in a tour of our member shop Rose Spring?
Yes
No
TOTAL COST: $
Email - Your invoice will be emailed to this address.
*
Confirmation Email
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