2016
Annual Conference
and Business Meeting
MOODY GARDENS | GALVESTON | JUNE 15-17, 2016
Register by April 29 to
participate in a drawing for a
free 2016 conference registration.
CALL THE HOTEL AT 888.388.8484 OR CLICK HERE & MENTION TLTA16 TO BOOK YOUR ROOM TODAY!
CONFERENCE EVENTS ▼
FULL REGISTRATION
EDUCATION ONLY
REGISTRATION
Please use one form per registrant, photocopy if necessary
T
BESUE!
VAL
Attend 1 or 2 days at same low price!
# of
Registrants
By May 23 | After May 23
Participate at the best price possible! Includes both General
Sessions, educational breakouts and both evening social events.
(PAC events, including breakfast, are not included. See below.)
$450 / $470
Non-Members add $100
$195/ $215
Includes General Sessions and educational breakouts. Includes 3.0
hours Escrow credit (pending TDI approval).
Non-Members add $100
# of Tickets
SINGLE EVENT TICKETS
$95/$115
Wednesday Opening Night Beach Party at Palm Island
Non-Members add $30 per ticket
$175/$195
Thursday President’s Evening Celebration and Dance
OPTIONAL
Non-Members add $30 per ticket
Optional discounted Moody Gardens Attractions Pass - Valid for use
from June 14-17. (Includes Aquarium Pyramid, Rainforest, 3D Theater,
4D Special FX Theater, Discovery Museum and Colonel Paddlewheel
Boat.)
$45 each
TOTAL
EVENTS ▼
$
The following PAC events are NOT included in Full Registration and tickets must be purchased seperately. Proceeds from PAC events directly support candidates. To comply with the
law, payment for these events must be made with personal credit cards or checks. See separate payment at bottom of page.
# of Golfers
Wednesday, June 15, at 8 a.m. at Moody Gardens Golf Course
Mulligans for the TLTAPAC Golf Tournament
Pre-pay for your mulligans and get a discount. Maximum of 5 per
golfer. Mulligans will be $10 each onsite.
# of
Mulligans
Don’t want to play in the tournament, but still want to support the
PAC? Register for this option and join the golfers for the Awards
Luncheon after the tournament and receive an “I Paid NOT to Play”
PAC ribbon to display on your conference nametag.
# of NonGolfers
Pay NOT to Play Option
Individual
$200
Bert Massey Classic TLTAPAC Golf Tournament
$5
$200
# of Tickets
Individual
Terry Grantham Memorial TLTAPAC Breakfast and
Annual Meeting
Thursday, June 16, at 7:45 a.m.
$35
Closing Session and Breakfast Benefiting TLTAPAC
Friday, June 17, at 9 a.m.
$35
CANCELLATIONS: To receive a full refund, less $25 processing fee, please email or fax a cancellation to the TLTA office by June 6.
REGISTRATION INFORMATION ▼
$
CONFERENCE EVENT PAYMENT INFORMATION ▼
Main Registrant_______________________________________________________________
Company____________________________________________________________________
Address______________________________________________________________________
City_____________________________________ State___________ Zip_________________
Phone___________________________________ Email_______________________________
If purchasing extra tickets, complete this portion:
Name____________________________________ Event(s)____________________________
Name____________________________________ Event(s)_____________________________
SEND FORM ▼
Mail: TLTA | 1717 W. 6th St., Suite 120
Austin, Texas 78703
PAC
TOTAL
Email: [email protected]
Fax: 512.472.5931
CONSENT TO USE PHOTOGRAPHIC IMAGES:
Registration and attendance at, or participation in, TLTA’s meetings and other activities
constitutes an agreement by the registrant to TLTA’s use and distribution (both now and
in the future) of the registrant’s or attendee’s image or voice in photographs, videotapes,
electronic reproductions and audiotapes of such events and activities.
 Visa
 Master Card
 AMEX
 DISCOVER
Card Number______________________________________________
Expiration Date_____________________________________________
Name on Card______________________________________________
Signature_________________________________________________
TLTAPAC PAYMENT INFORMATION ▼
TLTAPAC events must be paid with personal credit card or check
 Visa
 Master Card
 AMEX
Card Number_________________________________________________
Expiration Date________________________________________________
Name on Card_________________________________________________
Signature____________________________________________________