GCUA Annual Convention 2010 Registration Form

To receive the early bird participant registration, this form must be received by April 2.

Georgia Credit Union Affiliates 2010 Annual Convention
May 5-8, 2010

Savannah, GA

Register each participant and companion on the registration form below using the name, as they want it to be printed on their name badge. Click the applicable buttons to register for the different events.

Participants:
Early Bird registration (by April 2): $399 per person
Regular registration (after April 2): $499 per person
Golf: $175 per person

Companions:
Full companion program: $225
Sightseeing tour only: $70
Golf: $175

Room Cancellation Policy
Hotel policy requires a two-night deposit at the time of room reservation. If your reservation is cancelled after April 6th with no substitution, you will forfeit your room deposit. Guests who check out early (prior to the reserved check-out date) will be assessed one full night's room charge, plus applicable taxes.

Refunds will be issued in full until April 24th. After April 24th, refunds will be made less a 25% administrative fee. No refunds will be issued on cancellations made after April 29th. Cancellations must be submitted in writing. Substitutions are accepted at any time.

 

Online Registration For:

Credit Union Name: 

Contact Name:

Contact Phone:


Participants and Companions:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:

Participant:

Status (check one):
Professional     Volunteer

Register for Golf:

If Yes, Golf Handicap:

Companion:

Register for Full Companion Program:

Register for Sightseeing Tour Only:

Register for Golf:

If Yes, Golf Handicap:



Make check or share draft payable to GEORGIA CREDIT UNION AFFILIATES and mail to:

GCUA, Attn: Vonda White
6705 Sugarloaf Parkway, Suite 200
Duluth, GA 30097

Or fax with GCCU account number to (770) 497-9534.

Payment option (check one):

   
      Amount of check/share draft:


   
      GCCU account number:

      Debit amount:
      Name of person authorized to debit account:

We are bringing an item (minimum value of $50) for the CUPAC Silent Auction: