Registration Category By 1/15/23 After 1/15/23 Subtotal Owner/Employee Member $1195 $1295 Nonmember $1995 $2095 Spouse/Guest $795 $895 Youth 3-9 $350 $450 Youth 10-18 $595 $695 Optional Activities Please enter registrant’s number (1-4) from above Fees Registrant # Leadership Development Program (Fri, 8 am - 4 pm) $500 Catamaran Tour (Sat, 11:45 - 5 pm ) $270 PCCA Golf Tournament (Mon, 12:30 - 6:30 pm) $330 Golf Club Rental (Mon) p M p W | p Right p Left $75 Wynwood Tour (Mon, 12:15- 4:15 pm) $290 Bike Key Biscayne Tour (Mon, 1:30 - 5 pm) $165 Spouse Breakfast (Tues, 9 - 10:30 am) no charge Art Deco History & Culinary Tour (Tues, 12:15 - 3 pm) $185 Little Havana Tour (Tues, 12:15 - 3:15 pm) $190 Deep Sea Fishing Tour (Tues, 12:15 - 5 pm) $500 Island KayakingTour (Tues, 1:30 - 4:45 pm) $175 Miami by Speedboat Tour (Tues, 1:30 - 4:45 pm) $120 Total Fees Office Use Only Date In_ _________________ Amount In_ ______________ Confirm__________________ 2023 Convention Registration March 3 - March 8, 2023 Eden Roc & Nobu Miami Beach Miami Beach, Florida Registrant Information Register no more than one couple per page 1. Registrant’s Name Badge Name 2. Spouse/Guest Name Badge Name 3. Youth 1 Name Age Badge Name 4. Youth 2 Name Age Badge Name Company Title Street Address City State ZIP Phone Cell Email Registration Info • Email this registration form to registration@ pccaweb.org OR • Mail this registration form with payment to: PO Box 638 Churchton, MD 20733 Registration Fees All attendees must be registered Cancellation Policy There is no charge for cancellations received before 1/31/23. After 1/31/23 and before 2/28/23 there will be a 50% cancellation charge. There will be no refunds after 2/28/23. Questions? (800) 542-PCCA Room Type p Eden Roc Ocean View Jr. Suite $349 | p Nobu Deluxe $359 | p Nobu Deluxe Bay View $439 p Eden Roc One Bedroom Ocean Front Suite $549 | p Nobu Zen Suite Ocean View $649 | Bed Type p King Bed p 2 Queen Beds 78th ANNUAL CONVENTION Nobu Hotel at Eden Roc, Miami Beach, Florida March 3-8, 2023 Hotel Registration Credit card is required to reserve rooms. This is a separately charged item. Card Type: p MasterCard p VISA p AMEX Credit Card Number Expiration V-code Cardholder Name Signature Check-in Date Check-out Date Exhibit p Yes, I Want a Tabletop at the Annual Associates Exhibit PCCA Fees Payment must accompany this registration in the form of a check or credit card. Payment must be received by January 15, 2023, for early discount. p Check Please make payable to PCCA p MasterCard p VISA p AMEX Credit Card Number Expiration V-code Cardholder Name Signature Credit Card Billing Address p I’m a First-time PCCA Convention Attendee Room rates are subject to taxes, service charge and resort fee . Early departures will result in an early departure fee.
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