REGISTRATION FORM

2015 PHOSPHATE SPRING CONFERENCE ~~~ April 30 - May 2, 2015 ∙ The Gasparilla Inn & Club ∙ Boca Grande, FL

Name / Registration fee is $600 (1 or 2 attendees). Registration fee covers conference expenses only. Registrations cancelled on or before March 30 will be fully refunded. Due to minimum guarantees to the Gasparilla Inn, Spring Conference cancellations after March 30 are NOT refundable.
Call Gasparilla Inn @ 1-877-403-0599 to reserve your room. Phosphate Spring Conference rate is $255.00 per night (standard/double occupancy) plus taxes and hotel fees. Suites and cottages for groups are available. If interested, please call hotel for rates and availability. Check with hotel for their cancellation policy.
For specific questions, please contact Jim Abbitt at or Connie Shroyer at .
Conference Dress is casual. Golf shirts, shorts, capris, beach attire and sandals are acceptable. Business island casual for conference programs. Please wear appropriate dress to the event attending.
Name for Badge
Spouse/Guest
Name for Badge
Company
Mailing Address
City / State / Zip
Telephone
Email
Registration Fee / $600
Complete registration form including below sections for all event or organized activities you will participate in. Be sure to indicate name of attendee for each event.
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Mail registration forms with payment by April 16 to the below address (checks made payable to Phosphate Spring Conference)
*****(Checks only - We cannot accept cash or credit cards)*****
All checks (registration, sponsorship & boat tour) payable to:
PHOSPHATE SPRING CONFERENCE
P. O. Box 1384
Mulberry, FL 33860-1384
EVENTS - THURSDAY, April 30 / RSVP / RSVP (Spouse/Guest/ Other)
3:30 – 6:00pm / Registration and Cocktails / Name: / Name:
6:30 – 7:30pm / Cocktails and Hors d’oeuvres Reception / Name: / Name:
7:30 – 10:30pm / Dinner and Game Night / Name: / Name:
EVENTS - FRIDAY, May 1 / RSVP / RSVP (Spouse/Guest/Other)
7:30 – 8:30am / Continental Breakfast / Name: / Name:
8:30 – 11:30am / Conference and Speaker Programs / Name: / Name:
10:00 – 11:30am / Mid-Morning Brunch & Program (optional for those not attending conference programs) / Name: / Name:
11:30 – 12:30pm / Lunch / Name: / Name:
1:00 – 5:30pm / Organized Activities or On Your Own / Activity Registrations Below
6:30 – 10:30pm / Reception, Dinner and Ice Cream Social/Casino Night / RSVP
Name: / RSVP (Spouse/Guest/Other)
Name:
GOLF – Self Funded……Cost $148.50 per player. Golf fees are paid directly to the golf shop prior to event. If you want fees charged to your room, please make own arrangements with the golf shop or Gasparilla Inn. ***HANDICAP REQUIRED***
RSVP (Golfer Name) / Specify Handicap / Request to Pair With…..
(we will do our best to accommodate your request)
BOCA BOAT TOUR – Self Funded……Cost $60.00 per person. You may pre-pay with your registration or at boarding. Make checks payable to Phosphate Spring Conference.
RSVP (Tour Attendee Name) / Payment Options
Pre-pay w/Conference Registration: Pay at Boarding:
Pre-pay w/Conference Registration: Pay at Boarding:
EVENTS - SATURDAY, MAY 2 / RSVP / RSVP (Spouse/Guest/Other)
7:30 – 8:30am / Continental Breakfast / Name: / Name:
8:30 – 11:30am / Conference & Speaker Programs / Name: / Name:
SPONSORSHIP(S) – $1,000.00 Per Event…..We will make every effort to fulfill your request for a specific event.
Name or Company (Indicate name as you would like to be recognized on sign at event) / Preferred Event to Sponsor (if any)