STA CONFERENCE REGISTRATION

Download a printable registration form.

Yes, sign me up to attend the "2007 STA Annual Conference" from October 23-26, 2007!

*First Name:

*Last Name:

Company Name:

*Address:

*City:

*State:

*Zip:

*Phone:

( ) -

Fax:

( ) -

*Email:

* Is this your first STA Conference: YES NO

*Indicates a required field.

My company WILL or WILL NOT be donating a "handout" gift and/or door prize.
(Please complete the Conference Donations Form as soon as possible.)

Please list the name of attendees as you want them to appear on the conference badges:

First Name: Last Name:

Guest First Name: Guest Last Name:

Total number of people attending:

I WILL BE PARTICIPATING IN THE FOLLOWING ACTIVITIES:

# OF PEOPLE		# OF PEOPLE
	Tuesday, October 23rd Welcome Reception and Dinner		Thursday, October 25th Luncheon with Vendor Exhibits**
	Wednesday, October 24th Golf Tournament* *If you register for golf you room or credit card will be billed for the tournament fee		Thursday, October 24th Open Forum
			Thursday, October 24th STAMP “Havana Nights” Buffet Dinner & Entertainment

*Please complete the "Golf Registration Form"
**If you need an exhibit table, please complete the “Conference Vendor Participants Form”

CONFERENCE FEES:

Conference Participant from member Company* @ $750.00 ea
Conference Participant from non-member Company* @ $900.00 ea
Discount: Conference Participant* (2 or more from same Company)* deduct @ -$100.00 ea
Minus one time discount if attending conference for first time @ -$100.00 ea

*(includes one spouse/guest - additional attendees from the same company are not considered guests)

Please mail with check or money order made payable
to the STA by September 21, 2007 to:

Carol Gaffney
The Securities Transfer Association, Inc.
P.O. Box 5220
Hazlet, NJ 07730-5220

REGISTRATION FEE:
The registration fee, which includes one spouse/guest – additional attendees from the same company are not considered guests, covers all business sessions, continental breakfast on Wednesday, Thursday and Friday, lunch on Thursday with Vendor Exhibits, STA Reception and Dinner on Tuesday and STAMP “Havana Night” (buffet dinner and entertainment) on Thursday. Registered spouses/guests are welcomed to attend the business sessions and evening functions.

CANCELLATIONS AND REFUNDS:
Full refund of the registration fee will be made if Carol Gaffney (732-888-6040) receives notice of cancellation by September 21, 2007. One-half of the registration fee will be refunded if requested between September 22 – October 1, 2007. After October 1st, no refunds will be made.