J. W. Marriott Orlando Grande Lakes - Conference Registration

* Denotes required field

Please register by completing the following:

Name Prefix:

First Name*:

Last Name*:

Job Title*:

Company name*:

Street Address*:

City*:

State*:

Zip*:

Office Phone*:

Office E-Mail*:

Conference Registration Fees:
On Site Registration Desk Open Monday, May 30, 2016 3:00 to 5:00 pm
Pre-conference workshops, summit, and symposium will be held on Tuesday, May 31, 2016
The conference begins Wednesday, June 1, 2016

Registration Type:

Applicable Fees:

Registration & PAID By Date:	Discount	Discounted Total
Standard Rate Full Conference Feb 1 to June 1 2016		$995

Select: Full Day Pre Conference Workshop Only - $350
Full Conference Standard Rate Begins Feb 1 , 2016 $995
Full Conference Standard Rate Begins Feb 1 , 2016 w/full-day Preconference $1245

Full-Day - Workshops 8:00AM to 5:00 PM
(Lunch Included)

Applicable Fees - $250
Select: PC1 - 2016 Sterling Criteria: The Performance Excellence Framework for Sustainability

SIX SIGMA CERTIFICATION REGISTRATION:

Six Sigma Yellow Belt Track Certification - $150
Yes - Add six sigma yellow belt certification No

FSC AWARDS BANQUET: Formal Dinner held the evening of Friday, June 5, 2015

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? No Yes

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 20, 2016

Do you have Special Needs or Dietary Restrictions?
Yes
NO

Describe Below:

How did you hear about this conference?*

Word of Mouth Postcard-Brochure Email FaceBook-Twitter-LinkedIn Meeting w/Sterling Chairman
Sterling Training Letter Website Sterling Board Member Meeting w/Sterling Executive Director

Have you attended a Sterling Conference in the past three years?* Yes No

Select a Payment Method:

Check Credit Card Invoice

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 1, 2016. A 20% cancellation fee will be charged against the entire registration amount for every cancellation received by April 1, 2016. All cancellations must be in writing, and all refunds will be issued by check after the conference. No refunds will be considered after April 1, 2016 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.

Extend your stay!
Relax for the two days after the conference by extending your stay through Sunday, June 6, 2016 at the conference rate of $139 per night.

PLEASE PRINT THIS FORM FOR YOUR RECORDS

Questions? Call 850-922-5316