East Coast Conferences | Jekyll Island AA
Registration

Questions? Please call 386-677-6037 or EMAIL US

Register up to 3 persons per page. To register others, type additional names and full registration information for each person in the COMMENTS section below.         *Indicates required field

PLEASE NOTE DEADLINE CHANGES:
$35 after October 15 for November 2008 Conference

DEADLINE FOR TICKETS TO LOW COUNTRY BOIL: FEB 5 2009
Registration for
1st Person*
 Jekyll Island Conf. NOV. 2008 $30
Jekyll Island Conf. MAR. 2009 $35
 Jekyll Island GOLF TOURNY Mar. 2009 $75
Jekyll LOW CTRY BOIL Mar. 2009 $30

CHECK ALL YOU ARE REGISTERING FOR

Name #1 *
Address *
City *
State * ZIP *  
Phone (Day) PLEASE ENTER AT LEAST ONE PHONE NUMBER WHERE WE CAN CONTACT YOU IF NECESSARY.
Phone (Night)
Email *PLEASE ENTER A VALID EMAIL ADDRESS
SO WE CAN CONTACT YOU IF NECESSARY.
Name on Badge
Shirt size (Golf Tourney only)
2nd Person
Registration for
2nd Person
 Jekyll Island Conf. NOV. 2008 $30
Jekyll Island Conf. MAR. 2009 $35
 Jekyll Island GOLF TOURNY Mar. 2009 $75
Jekyll LOW CTRY BOIL Mar. 2009 $30

CHECK ALL YOU ARE REGISTERING FOR

Name #2
Name on Badge
Shirt size (Golf Tourney only)
3rd Person
Registration for
3rd Person

Jekyll Island Conf. NOV. 2008 $30
Jekyll Island Conf. MAR. 2009 $35
 Jekyll Island GOLF TOURNY Mar. 2009 $75
Jekyll LOW CTRY BOIL Mar. 2009 $30

CHECK ALL YOU ARE REGISTERING FOR

Name #3
Name on Badge
Shirt size (Golf Tourney only)

Use the COMMENTS box to request information or to add other persons for registration. Be sure to include all registration information for each additional person, including all activities and name on badge.
COMMENTS


Click SUBMIT to send your registration information and proceed to the billing process.