Registration Category By 12/15/24 After 12/15 Subtotal Owner/Employee Member $1295 $1495 Nonmember $2195 $2395 Spouse/Guest $895 $995 Youth 5-9 $350 $450 Youth 10-18 $695 $795 Optional Activities Please enter registrant’s number (1-4) from above Fees Registrant # Leadership Development Program (Fri, 8 am - 4 pm) $500 Tabletop Exhibit (Sat, 8 - 10:30 am) no charge p Yes p No Spouse Breakfast (Sat, 9 am) no charge p Yes p No PCCA Golf Tournament (Mon, 12 - 6 pm) $280 Golf Club Rental (Mon) p M p W | p Right p Left $80 Helicopter Tour p Sat p Tues | p 1 pm p 2 pm p 3 pm $499 UTV Tour (Sat, 1 - 5 pm) $205 Ocean Voyage Tour (Sat, 1:30 - 5 pm) $112 Group Surf Lesson (Sat, 1:30 - 3 pm) $149 Segway Tour p Sun p Mon | p 1:30 pm p 2:30 pm $174 Horseback Ride (Sun, 2 - 3:15 pm) $147 Paddle Board Tour (Mon, 1:30 - 3 pm) $149 Jurassic Valley Zip Line (Tues, 12 - 5 pm) $295 Jurassic Adventure Tour (Tues, 12:15 - 5 pm) $260 Total Fees Office Use Only Date In_ _________________ Amount In_ ______________ Confirm__________________ 2024 Convention Registration March 8 - March 13, 2024 Turtle Bay Resort Kahuku, Oahu, Hawaii Registrant Information Register no more than one couple per page (All attendees must be registered) 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 Cancellation Policy There is no charge for cancellations received before 12/15/24. After 12/15/24 and before 2/28/24 there will be a 50% cancellation charge. There will be no refunds after 2/28/24. Questions (800) 542-PCCA p Ocean View $409 | p Ocean View Suite $649 | p Ocean View Club $699 | p Ocean Bungalow $950 | p King Bed p 2 Queen Beds 79th ANNUAL CONVENTION Turtle Bay Resort, Kahuku, Oahu, Hawaii March 8-13, 2024 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 PCCA Fees Payment must accompany this registration in the form of a check or credit card. Payment must be received by December 15, 2024, 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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