2015 OCALA SYMPOSIUM WITH
CHRISTOPHER BARTLE
Presented by the USEA Instructors’ Certification Program (ICP)
January 19-20, 2015
Longwood Farm South – Ocala, Florida
SPECTATOR FEES:
Monday, January 19, 2015 - 9:00 AM-5:00 PM
ICP Certified Instructors, and USEF Licensed Officials:
General Public:
$65.00
$75.00
Tuesday, January 20, 2015 – 9:00 AM-3:00 PM
ICP Certified Instructors and USEF Licensed Officials:
General Public:
$65.00
$75.00
Two-Day Fee:
ICP Certified Instructors and USEFLicensed Officials:
General Public:
$110.00
$130.00
BOTH DAYS ARE OPEN TO EVERYONE INTERESTED IN ATTENDING –
INSTRUCTORS, RIDERS, OWNERS, GROOMS, FAMILY -- ALL
FRIENDS OF HORSE SPORT!
Please check the day(s) you will be attending (make checks payable to USEA):



Monday, January 19, 2015 – 9:00 AM-5:00 PM
Tuesday, January 20, 2015 – 9:00 AM-3:00 PM
Both days: Monday and Tuesday, January 19-20, 2015
Total Amount Paid:
$__________________
Name:__________________________________________________________________________________________
Address: _______________________________________________________________________________________
City/State/Zip Code: ______________________________________________________________________________
Phone Number: _____________________________ Cell Phone Number: ___________________________________
Email:____________________________________ USEA Member #: ____________ USEF Member #: ___________
PAYMENT:

Enclosed is my check (payable to USEA) to cover the appropriate fee.

Please charge the fee(s) to my:  Visa
 Master Card
 American Express
Credit Card Number: ______________________________ Expiration Date: ________ CVV: _______
Name as it appears on card: _____________________________________
Signature: _________________________________________________
Food and beverages will be available for purchase on site.
United States Eventing Association  525 Old Waterford Road, NW  Leesburg, VA 20176
Telephone: (703) 779-0440  Fax: (703) 779-0550  Email: [email protected]  Web: www.useventing.com
Mail, Fax, or Email this signed registration form and appropriate fee(s) to:
Nancy Knight, Director of Education
USEA
525 Old Waterford Road, NW
Leesburg, VA 20176
Questions: Telephone: 703-669-9997 - Fax: 703-779-0550 – Email: [email protected]
United States Eventing Association  525 Old Waterford Road, NW  Leesburg, VA 20176
Telephone: (703) 779-0440  Fax: (703) 779-0550  Email: [email protected]  Web: www.useventing.com