Florida Mosquito Control Association, Inc.


Federal ID # 59-1819301
PO Box 358630, Gainesville, FL  32635-8630
77th Annual Fall Meeting, November 13 - 16, 2005
Registration Form

The 2005 Fall Meeting will begin at 1:00 p.m. on Sunday, November 13th with the FMCA Board of Director's Meeting. The general program will begin at 8:00 a.m. on Monday, November 14th and conclude at 12:00 p.m. on Wednesday, November 16th. The conference will be held at Hawks Cay Resort, Duck Key, FL.

Registration form must be faxed (352.334.2286), mailed, or submitted here by November 1, 2005 for advance registration fees. There will be no refunds given after November 7, 2005. If you have any questions, please call Kellie Etherson at 352.281.3020 or email her at ethersonk@cityofgainesville.org. Please enter the following information:


    Name :     
    Companion's Name :     
    Agency :     
    Address :     
         
    email :           
    phone # :       
    fax # :            

    Check or PO Number :            

Registration must be faxed to 352.334.2286 or mailed by November 8, 2005 for advanced registration fees (or submitted by web form). Please check the appropriate registration.

Director Registration $250.00
Non-member Director $350.00
Commissioner Registration $250.00
Non-member Commissioner $350.00
General Member $225.00
General Non-member $315.00
Student $125.00
Companion Registration $125.00
Extra Banquet Ticket $65.00

For room reservations call:
Hawk's Cay Resort
61 Hawk's Cay Boulevard
Duck Key, Florida 33050
1.888.433.6393
reservations@hawkscay.com
www.hawkscay.com
Room Rate: $165/night		 These rates are subject to state and local tax and resotr fees. Please identify yourself as attending the Florida Mosquito Control Association meeting. You will not be considered tax exempt unless you pay using a tax exempt agency check or credit card with the agency name on it. You must have a copy of your tax exemption certificate. Please be sure to ask about tax exemption when making your reservation. The cut-off date for our group rate is October 14, 2005. 

 

 

DEADLINE FOR SUBMISSION IS November 1, 2005.
Submitting this form will email contents to ethersonk@cityofgainesville.org


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