Registration Category By 1/15/26 After 1/15/26 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 Spouse Breakfast (Sat, 9 am) no charge p Yes p No Las Olas Food & History Tour (Sat, 12 - 3:30 pm) $275 Sport Fishing (up to 6 fishermen) (Sat, 12 - 5:30 pm) $2,100 Bike Tour (Sat, 2 - 4 pm) $150 Tabletop Exhibit (Mon, 8 - 10:30 am) no charge p Yes p No PCCA Golf Tournament (Mon, 12 - 6 pm) $300 Golf Club Rental (Mon) p M p W | p Right p Left $80 Catamaran Tour w/lunch (Tues, 12 - 5 pm) $250 Total Fees Office Use Only Date In_ _________________ Amount In_ ______________ Confirm__________________ March 6 - March 11, 2026 The Diplomat Beach Resort Hollywood, Florida 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 1/15/26. After 1/15/26 and before 2/28/26 there will be a 50% cancellation charge. There will be no refunds after 2/28/26. Questions (800) 542-PCCA p Intracoastal View $469 | p Ocean Front $499 | p Diplomat Suite $689 | p Corner Suite $939 p King Bed p 2 Queen Beds 81st ANNUAL CONVENTION The Diplomat Beach Resort, Hollywood, Florida March 6-11, 2026 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 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. 2026 Convention Registration PCCA Fees Payment must accompany this registration in the form of a check or credit card. Payment must be received by January 15, 2026, for early discount.
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