Registration Form

Friday, December 12, 2008
Hilton Garden Inn Ft Myers
 Embassy Suites Ft Myers – Estero
10450 Corkscrew Commons Drive, Estero (Ft Myers) FL 33928
Phone: 239-949-4222

7:30am to 8:00am - Registration and Continental Breakfast
 8:00 am to 12:00 pm -- Seminar (please note this does not include lunch)
12:00 pm Seminar Ends

Cost:  $115 for NACM Members - $125 for Non-NACM Members
 

Registration Deadline:  December 5, 2008
 Cancellation Policy: No refunds will be issued after December 5, 2008.
Based on contractual obligations with the hotel, refunds will not be given due to weather, including hurricanes
however replacements made be made at any time.

We have a few sleeping rooms blocked at this hotel on December 11th.  Based on availability, the hotel will offer a discount rate of $129.00.  You need to call
the hotel directly and tell them you are with the NACM Lien Law Seminar Group to receive this rate.
Date:
NACM Member#:            NACM Affiliation:  Tampa  Orlando    Other
Company Name: 
Company Address: City:   State:   Zip: 
Company Phone:    Company Fax:    Email:
Is your company a:  Supplier  Bank    General Contractor  Subcontractor  Other 
We will provide a confirmation letter via email (if you do not list an email address, it will be faxed). If you do not receive your confirmation letter in 2 days then call Trudy Dodson at 813-289-8894 x111. If you do not receive a confirmation letter...you are NOT registered
Please list the names of those who will be attending the seminar:          
 
Payment by:  Amex    Master Card    Visa     Company Check (payable to NACM Tampa) Bill to NACM account
Please note: We can only charge your NACM account if you are a member of NACM Tampa Inc.

  Name as it appears on the card:
  Billing address (incl. City/St/Zip):

  Card#  Exp. Date    Security Code:

Contact Name:    Contact Phone: