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J. W. Marriott Orlando Grande Lakes - STEM Forum Registration |
| * Denotes required field | Please register by completing the following: |
| Name Prefix: |
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| First Name*: |
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| Last Name*: |
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| Job Title*: |
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| Company name*: |
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| Street Address*: |
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| City*: |
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| State*: |
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| Zip*: |
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| Office Phone*: |
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| Office Fax: |
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| Office E-Mail*: |
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Conference Registration Fees:
On Site Registration Desk Open Monday, May 26, 2014 3:00 to 5:00 pm
Pre-conference workshops, summit, and symposium will be held on Tuesday, May 27, 2014
The conference begins Wednesday, May 28, 2014 |
| Registration Type: | Applicable Fees:
| Registration & PAID By Date: | Discount | Summit Fees | Conf Reg Fees | Reg Total |
STEM Forum Only
May 29 | - | $199.00 | - | $199.00 |
Wed Conference + STEM
May 28 - 29 | - | $499.00 | - | $499.00 |
STEM + Friday Conference
May 29 - 30 | - | $499.00 | - | $499.00 |
Best Discounted Rate
STEM Forum + Full Conference
May 28 to May 30
Paid By Aug 16, 2013 - $400 Discoun | -$400.00 | $0.00 | $695.00 | $695.00 |
Early Bird - Discounted Rate
STEM Forum + Full Conference
May 28 to May 30
Paid By Jan 6, 2014 - $300 Discount | $300.00 | $0.00 | $795.00 | $795.00 |
Advanced - Discounted Rate
STEM Forum + Full Conference
May 28 to May 30
Paid By Mar 14, 2014 - $200 discount | -$200.00 | $0.00 | $895.00 | $895.00 |
Standard Rate
STEM Forum + Full Conference
May 28 to MAY 30
Paid by May 12, 2014 - $100 discount | -$100.00 | $0.00 | $995.00 | $995.00 |
On Site Rate
STEM Forum + Full Conference
May 28 to mAY 30
After May 13, 2014 - $ 0 discount | $0 | $0.00 | $1095.00 | $1095.00 |
Select:
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Full-Day - Workshops 8:00AM to 5:00 PM
(Lunch Included) | Applicable Fees - $350
Select:
NOTE: There is NO On Site Registration for PC2 |
| SIX SIGMA CERTIFICATION REGISTRATION: |
 | Six Sigma Yellow Belt Track Certification - $150
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| FSC AWARDS BANQUET: Formal Dinner held the evening of Friday, May 30, 2014 |
| One ticket is included with each paid conference registration. There is no cost savings if you do not attend.
Do you plan to attend the Governor's Sterling Award Banquet?
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| Purchase Additional Banquet Tickets: | Applicable Fees - $150 - Price per additional ticket
Indicate Quantity:
x $150.00 per ticket |
| Reserve Banquet Table(s) recommended to ensure group seating. | Applicable Fees - $50 - Price per table - ensures group seating for up to 8 people.
Each attendee must have his or her own Banquet Ticket."
Indicate Quantity:
x $50.00 per table
Table reservations must be made by May 12, 2014 |
 Do you have Special Needs or Dietary Restrictions?
| Describe Below:
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| How did you hear about this conference?* |
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| Have you attended a Sterling Conference in the past three years?*
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| Select a Payment Method: |
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SUBSTITUTION/CANCELLATION POLICY: We understand schedules change, so the Florida Sterling Council will accept substitutions at any time using the Substitution Form. If a substitution is not available, requests for refunds must be made in writing to the Florida Sterling Council on or before April 25, 2014. A 20% cancellation fee will be charged against the entire registration amount for every cancellation received by April 25, 2014. All cancellations must be in writing, and all refunds will be issued by check after the conference. No refunds will be considered after April 25, 2014 for any portion of the conference.
By clicking the Submit Registration Button, I acknowledge that I have read, understand, and agree to be bound by this substitution / cancellation policy. |
REMINDER:
Don’t Forget to Book Your Hotel Room!
The JW Marriott Orlando Grande Lakes books quickly. You will be directed to the Sterling Hotel Page for the JW Marriott Orlando Grande Lakes once you submit your registration and then exit the confirmation page. Register for the hotel through this web page to receive our low group rate of $139 per night + tax. For hotel reservations, please visit the Hotel link when you return to the Sterling Conference page.
Have Plans for Memorial Day?
Take advantage of our special Memorial Day weekend package. Use the same group code to book a room as early as Saturday, May 24 at the same low group rate of $139 per night.
Extend your stay!
Relax for the two days after the conference by extending your stay through Sunday, June 1, 2014 at the conference rate of $139 per night. |
PLEASE PRINT THIS FORM FOR YOUR RECORDS |
Questions? Call 850-922-5316 |