Southwest Chapter 2016 Awards Banquet & Spring Conference Registration

Hilton DFW Executive Conference Center

1800 Highway 26 East Grapevine, TX 76051

March 10 & 11, 2016

Registration Fees: (fees below are valid through February 23, after which prices will increase 10%)
 
  Members - $250 each for the first 2 registrants and $225 for each additional 
  Nonmembers - $495 for each registrant
  Awards Banquet- $85 per ticket (includes reception and dinner)

 
*Please Indicate Number of Persons for Each Registration Category.
Members:
Non Members:

Total number of Registrants : Total:

Registrant 1

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First Name: Last Name:
Title: Email:

Registrant 2

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First Name: Last Name:
Title: Email:

Registrant 3

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Title: Email:

Registrant 4

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Registrant 5

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Registrant 6

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Registrant 7

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Registrant 8

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Registrant 9

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Registrant 10

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Company Information

Company Name:
Company Contact First Name:
Company Contact Last Name:
Address:
Address Line 2:
City:
State:
Zip:
Phone:
Country :
Fax:
Email:

Order Total:

* Name On Credit Card:  
Credit Card:
* Card Number:  
* Security Code:

Expiration Date:



Your credit card will be charged the amount of : .

Less Chapter Sponsor discount
Awards Banquet Tickets (Includes dinner and reception) $85.00 each Qty of Tickets : $


* Required Field
‡ The maximum amount of registants per request is 10.


Overnight Accommodations 

If you are attending the conference and need a room at the hotel,
a limited number of rooms have been reserved at a rate of $165 per night (plus tax).
After February 23, 2016 rooms will be subject to availability and at regular hotel pricing. 

To make a room reservation at the Hilton: 

Please contact the Hilton DFW Lakes.
Phone 800-984-13044

Be sure to mention the The ESOP Association to get conference pricing

For more information contact:
Jim Schranz, Chapter Executive
 903-575-7345 or jschranz7@gmail.com