REGISTRATION FORM

2014 PHOSPHATE SPRING CONFERENCE ~~~ May 8 – 10, 2014 ∙ The Gasparilla Inn & Club ∙ Boca Grande, FL

Name / Registration fee is $600 per participant(s) (includes spouse/guest). Registrations cancelled on or before April 15 will be fully refunded. Registration fee covers conference expenses only.
Please Note: Due to hotel guarantee policy, cancellations after April 15 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. Upgraded rooms and cabins for groups are available. If interested, please call hotel for rates and availability.
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 apparel 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/participant for each event.
------
Mail registration with payment by April 25 to the below address (checks made payable to Phosphate Spring Conference)
*****(Checks only - We cannot accept cash or credit cards)*****
PHOSPHATE SPRING CONFERENCE
P. O. Box 1384
Mulberry, FL 33860-1384
EVENTS - THURSDAY, May 8 / Attendee Name / Attendee Name
3:30 – 6:00pm / Registration and Cocktails
6:30 – 7:30pm / Cocktails and Hors d’oeuvres Reception
7:30 – 10:30pm / Dinner and Game Night
EVENTS - FRIDAY, May 9 / Attendee Name / Attendee Name
7:30 – 8:30am / Continental Breakfast
8:30 – 11:30am / Conference and Speaker Programs
10:00 – 11:30am / Mid-Morning Brunch and Program
11:30 – 12:30pm / Lunch
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
GOLF – Self Funded……Cost $148.40 total per player. Golf fees must be paid directly to the golf shop. No pre-payments. If you wish to have fees charged to your room, please make your arrangements with the golf shop or Gasparilla Inn.
Participant Name / Handi Cap / Pair With…..
(we will do our best to accommodate your request)
BOAT TOUR – Self Funded……$50.00 per person. You may pre-pay with your registration or at boarding. Make checks payable to Phosphate Spring Conference.
Participant Name / Payment Options
Pre-pay w/Conference Registration: Pay at Boarding:
Pre-pay w/Conference Registration: Pay at Boarding:
EVENTS - SATURDAY, MAY 10 / Attendee Name / Attendee Name
7:30 – 8:30am / Continental Breakfast
8:30 – 11:30am / Conference & Speaker Programs
SPONSORSHIP – Please indicate if you wish to sponsor a specific event. We will make every effort to fulfill your request.
Company (Indicate name as you would like noted on Sponsor Recognition Sign) / $1,000.00
Per Event / Preferred Event to Sponsor (or None)