United Trustees Association
EARLYBIRD REGISTRATION FORM- 39th Annual Educational Conference 2014
Please PRINT and FAX to 949-260-9021 or
SCAN and EMAIL to rmeyers@unitedtrustees.com
Primary Attendee
Additional Attendees
Additional Attendees
Company Name
Address
City
State/Provence
Postal/Zip Code
Email
Phone
Fax

PRICING INFORMATION

Full Conference Registration
(Conference Registration Fee includes Monday Dinner Event )
 
First Member Attendee Registration Fee @ $745 per person (before October 10th)
$
Second and Additional Member Attendee Registration Fee @ $645 per person (before October 10th)
$
Non-Member Attendee Registration Fee @ $995 per person (before October 10th)
$
Second and Additional Non-Member Attendee Registration Fee @ $995 per person (before October 10th)
$
Legal-Amicus Fund Contribution
Legal Defense-Amicus Fund contribution will be used to support UTA's amicus brief program. We respectfully request a minimum contribution of $50.00
$
Please select one: Individual Corporate

Monday Dinner Event
Registration ONLY

Spouse/Guest/Sole Attendee Fee (Monday Dinner) @ $125 per attendee (Note: Monday Dinner is included in the Conference Registration Fee) Number of Guests:

$
Attendees
Attendees
Sunday 21st Annual Golf Tournament
@ $175 per attendee
(Green fees are not included in conference registration.)
$
Attendees
 
Attendees
Attendees
Attendees
Sunday Wine and Canvas
@ $50 per attendee
(Wine and Canvas fees are not included in conference registration.)
 
Attendees
 
Attendees
Attendees
Attendees
Sunday Hiking Adventure
(There is no cost to participate in the Hiking Adventure.)  
Attendees
 
Attendees
Attendees
Attendees

Credit Card Information
Check One:      MasterCard      Visa        Check
Total Amount $:
Card Number:
3 Digit Security Code at the back of the card (CCV):
Expiration Date:
Name on Card:
Billing Address:
City, State, Zip:

Signature: _____________________________

Please mail to:
United Trustees Association
2030 Main Street, Suite 1300
Irvine, CA  92614