Piedmont Meeting, April 26

First Name

Last Name

E-mail

Club:

Position:

First Time Attendee:

Yes

Total Number Attending (including you):

Cost: $15 per person due upon arrival if paying with cash or check. Checks should be made payable to: Forsyth Country Club.

Guest 1 Name:

Guest 1 Club:

Guest 1 Email:

Guest 2 Name:

Guest 2 Club:

Guest 2 Email:

Guest 3 Name:

Guest 3 Club:

Guest 3 Email:

Guest 4 Name:

Guest 4 Club:

Guest 4 Email:

Payment Options

Cash

Check

Credit Card

Sales Amount

Carolinas Chapter CMAA Cancellation Policy

The registration policy for Chapter programs requires payment by check via mail or on-site upon arrival or by processed credit card at the time of registration. Cancellation of registrations will be accepted with no penalty until the registration deadline date of the respective programs. No refunds will be given after�5:00 p.m.�Eastern time the day of the registration deadline.� No shows and late cancellations�will be billed�if payment is not received prior to the program.��

All cancellations must be submitted in writing to the Carolinas Chapter Staff by the individual whose name appears on the registration. Cancellations by phone or in writing by any party other than the attendee will not be accepted, regardless of the initial payer.�Administration fees may apply.

All credit card payments are processed by a secure third party, online merchant account.� Fees for refunds applied to a credit card may apply.

Questions: Please contact Kelly Dixon, Chapter Administrator, at�704-631-7947�or�[email protected].

The registration deadline is Friday, April 22, 2016.

* Bold Fields are Required