Meeting Registration

Registration fees will increase on August 16th. Refund requests received in writing by 8/23/19 will be refunded at 100%. Refund requests received between 8/24/19 to 9/3/19 will be refunded minus a $50.00 processing charge. No refunds will be given after September 4, 2019.

Information in this form is exactly how it will be displayed on your name badge.

Step 1 of 2

50%

First Name*
Last Name*
Title*
Company*
Company Type*
Shipper Categories*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone*
Cell Phone
Email*
Receipt Email
Meeting Registration
-
- Shippers Registration Fees
- Railroads, Leasing Companies, Vendors & 3rd Party Logistics
- Golf Registration
Shippers Registration Fees*
Price: $340.00 Quantity:
Railroads, Leasing Companies, Vendors & 3rd Party Logistics*
Price: $380.00 Quantity:
Your spouse/guest is welcome to attend for an additional cost. This cost includes the reception on Tuesday & Wednesday. Dinner on Wednesday only and no breakfast or lunch.
- My spouse/guest would like to attend
Spouse/Guest Name*
Spouse/Guest Email*
Spouse/Guest Phone
Golf Registration*
Includes lunch & prizes at Palmetto Dunes
Price: $175.00 Quantity:
Your Preferred Golf Pairing, If Any:
Note: Please indicated names of players with whom you would like to be paired in a foursome.
-
- Reserve Golf Clubs
Club Preferences
For more specific details regarding pricing, please contact Jeff Blake at jeff.blake@djj.com or call him at 513-373-6271
Additional Golf Registration at Harbor Town
For more specific details regarding pricing and to sign-up for this second golf event, please contact Jeff Blake at jeff.blake@djj.com or call him at 513-373-6271
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
- I will register now and mail a check payable to: SEARS 6000 Fairview Road, Suite 1200 PMB #113726, Charlotte, NC 28210
Total
$0.00

First Name: {First Name:16}	Last Name: {Last Name:17}
Title: {Title:2}	Company: {Company:3}
Company Type: {Company Type:25}
Shipper Category: {Shipper Categories:104}
Billing Address: {Address (Street Address):4.1} {Address (Address Line 2):4.2} {Address (City):4.3} {Address (State / Province):4.4} {Address (ZIP / Postal Code):4.5} {Address (Country):4.6}
Work Phone: {Work Phone:5}	Cell Phone: {Cell Phone:6}
Email: {Email:7}	Receipt Email: {Receipt Email:8}
Shippers Registration Tickets: {Shippers Registration Fees (Quantity):105.3} Railroads, Leasing Companies, Vendors & 3rd Party Logistics Tickets: {Railroads, Leasing Companies, Vendors & 3rd Party Logistics (Quantity):106.3}
Spouse/Guest Attending: {Spouse/Guest Name:20} {Spouse/Guest Email:108} {Spouse/Guest Phone:109}
Golf Tickets: {Golf Registration (Quantity):110.3} {- (Reserve Golf Clubs):123.1} {Club Preferences:124}
Total: {Total:32}
{ (I will register now and mail a check payable to: SEARS 6000 Fairview Road, Suite 1200 PMB #113726, Charlotte, NC 28210):28.1}

Meeting Registration

Step 1 of 2

Additional Golf Registration at Harbor Town

Below is a summary of your order, please review carefully. Please click Submit to complete registration.