Pub. 1 2019-20 Issue 3

Pub. Year 1 2019-2020 Issue 3 11 WVADA WVADA 87th ANNUAL FAMILY CONVENTION REGISTRATION FORM The Greenbrier Resort SEPTEMBER 11—14, 2020 Open Registration: Now—September 1, 2020 PLEASE REGISTER THE FOLLOWING Primary Contact___________________________________ Guest Name_________________________________ Additional Guest___________________________________ Additional Guest______________________________ Child Name_______________________Age_____ Child Name_____________________________ Age____ Dealership/Company Name__________________________________________ Phone________________________ Address__________________________________________________ City________________________ State______ Zip_________ Email_________________________________________ **DISCLAIMER—THERE WILL BE A 3% CHARGE WHEN PAYING BY CREDIT CARD. Payment Method: Credit Card Check ATTENDEES Fees Guest # of Guests 10% Discount Total Dealer $250 +$175 _________ _________ _________ Sponsor $350 +$250 _________ _________ _________ Non Sponsoring Associate $625 +$300 _________ _________ _________ Children Per Child (13-17) $175 _________ _________ _________ Children Per Child (3-12) $125 _________ _________ _________ Evening: Welcome Reception (No Charge) # of Guests _____ Casino Night (No Charge) # of Guests _____ Day: **Golf Scramble (WVADA Registration Fee - **$150.00) OR Scavenger Hunt - $25.00 # of Players_______ $________ Evening: Block Party (No Charge) # of Guests_______ Day: **Sporting Clay Tournament - $50.00 OR Bowling— $50.00 # of Players______ $_______ Evening: Chairman Dinner & Reception (No Charge) # of Guests______ WVADA Registration Fees Registration received AFTER September 1st will incur an additional 15% charge REGISTRATION CUT-OFF DATE IS SEPTEMBER 4, 2020 WVADA SPONSORED EVENTS (FEES ARE PER PERSON & MUST BE REGISTERED TO PARTICIPATE IN SPONSORED EVENTS) IN ADDITION TO THE WVADA REGISTRATION FEES, ATTENDEES WILL BE RESPONSIBLE FOR GREENBRIER FEES ASSOCIATED WITH GOLF, SPORTING CLAY, SCAVENGER HUNT & BOWLING. Player(s) Name & GOLF HANDICAP 1)________________2)________________3)__________________4)________________ **Participants of the Sporting Clay Tournament will be responsible for Greenbrier fees of $154.00, in addition to the $50 WVADA fee. Player(s) 1)____________________2)__________________________3)_________________________4)____________________5)_______________ _ ___ Player(s) Name for Scavenger Hunt 1)_____________________2)_______________________3)__________________________4)___________________ Player(s) Name for Bowling 1)____________________2)__________________________3)_______________________4)_____________________________ ***In the event that a person should need to cancel—cancellation must be received by WVADA 14 days prior to convention for refund of fees FRIDAY SATURDAY SUNDAY After registration form is submitted an invoice will be sent via email . Please provide an email_____________________________________