Standing Committees Archived Docs Newsletters STA Members
By-Laws Presentations Membership Renewall T+2 Updates
LOG IN
Sign up now Read more
2019 Annual Conference

Registration/Sponsor Form
OCTOBER 21-24, 2019 • THE RITZ-CARLTON, NAPLES, FLORIDA

 

1. Registrant & Spouse Information

Registrant
First Name*
Last Name*
Company*
Address*
Address 2
City*
State/Province
Postal Code
Country
Phone* ( ) -
Email*
Preferred First Name on Badge*  
Spouse
First Name
Last Name
City
State/Province
Preferred First Name on Badge
Arrival and Departure Dates

The Conference begins Monday, October 21st with registration and Welcoming Dinner and runs through noon Thursday, October 24th
Arrival Date*
Departure Date*
2. Registration Fees
Full refund of the registration fee will be made if notice of cancellation is received by September 13, 2019. One-half of the fee will be refunded if requested by October 4, 2019. After October 4, 2019, no refunds will be made.
STA Member Only @ $750.00 ea
STA Member with Spouse @ $1,000.00 ea
Non STA Member @ $1,500.00 ea
Non STA Member with Spouse @ $1,750.00 ea
STA Honorary Member @ $0.00 ea
3. Sponsorship Contribution
If you do not wish to be a sponsor, please leave the fields below blank.
Platinum Sponsor @ $10,000
Gold Sponsor @ $5,000
Silver Sponsor @ $3,000
Bronze Sponsor @ $1,500
4. Buffet Luncheon with Vendor Exhibits
If you do not wish to be a vendor exhibitor, please leave the fields below blank.
Vendor Exhibitor (non-Sponsor) @ $1,500.00 ea
Vendor Exhibitor (already a Sponsor – no fee) @ $0.00 ea
5. Events Participation
Please indicate the number of participants.
Is this your first STA Conference? (yes or no)
Monday, October 21st Welcome Reception & Dinner participants

Tuesday, October 22nd Small Agents Info-Social

participants

Tuesday, October 22nd New Employee Training

participants

Tuesday, October 22nd "Box Lunch"

participants
Wednesday, October 23rd Buffet Luncheon with Vendor Exhibits participants
Wednesday, October 23rd Open Forum participants
Wednesday, October 23rd Reception & Buffet Dinner participants
6. Golf Tournament on Tuesday, October 22nd
Tournament $128 and club rental $50 fees will be billed to your room.
Name of Participant
Handicap
Name of 2nd Participant
Handicap of 2nd Participant
Rent Right Handed Clubs
Rent Left Handed Clubs
No Club Rental
I would like to be paired with the following players:
Player Name 1
Player Name 2
Player Name 3

Total


$0







If you have any questions or concerns, please contact Carol Gaffney at 908-693-4081  cgaffney@stai.org or John Gaffney at 732-241-8414 jhgaff3@aol.com