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To become a member of TIA, the Tire Industry Association, please choose one of the options below:

• JOIN ONLINE

• MEMBERSHIP FORM
send in by MAIL or FAX

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Contact a membership representatives at 800-876-8372 ext. 112 or 103 or by email.

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February 16 - 19, 2011 · Doral Golf Resort & Spa · Miami, Florida
General Information | Schedule | Conference Brochure

 

2011 OFF-THE ROAD TIRE CONFERENCE REGISTRATION FORM

I. Other Ways to Register
Mail
Tire Industry Association
1532 Pointer Ridge Place, Suite G
Bowie, MD 20716-1883

Phone
 301.430.7280, ext. 104
800.876.8372, ext. 104

 Fax
301.430.7283
Download this form as a PDF file.
(click above to download. Then print it, fill it out and send it to TIA)

* All fields marked with a red * must be completed.

II. Attendee Information
(Contact information will appear in on-site conference directory)
* First Registrant:   
* Title:   
Spouse/Guest:  
Child:  
     
Second Registrant:   
Title:   
Spouse/Guest:   
Child:  
     
* Company:   
* Address:   
* City:  State:  
   
* ZIP:  *  Country: 
 
 
If applicable, please enter International Postal Code into the ZIP field above.
  
         
E-mail required  
* 1st Reg. Phone:  Fax:   
* 1st Reg. E-mail:   
     
2nd Reg. Phone:
Fax:
 
2nd Reg. E-mail:  
     
Web Site:   
     

III. Hotel Information
All attendees must contact the hotel directly to secure a hotel room reservation.
 

Doral Golf Resort & Spa
4400 N.W. 87th Avenue
Miami, FL 33178
ROOM RATES
Single/Double $199
All room rates plus tax
 
   
CUT-OFF DATE
January 17, 2011

PHONE
800.228.9290 (ask for Reservations)
(Mention Tire Industry Association/OTR Conference to get Conference Room Rate)
IV. Conference Registration Fees
* Please select one
Registrations received after January 13, 2011 , will be charged an additional $100.
 
 
TIA Member (first representative) $395
TIA Member (Additional Representatives)
(NOTE: Must be a TIA member in good standing to qualify for the TIA Member Rate)
 $295
Spouse/Guest of TIA Member** $195
Children 12 and under** $95
Non-Member $695

(*Includes General Sessions, Breakfasts, Dealer/Supplier Lunch, Welcome Reception & Gala Event. **Includes Welcome Reception & Gala Event only. Must be registered to attend.)
V. Spouse Program
Spouse programs will be announced at a later date. Please check the "Events" section of www.tireindustry.org for the latest information.
 
VI. Golf Tournament (Featuring Golf Awards directly after Tournament)
Blue Monster Golf Course -Thursday, February 17, 2011. Shotgun Start: 1:30 p.m.
(Includes sponsored box lunch and beverage carts) 		 
   
 
Attendee Golf $175 (First Registrant)

 
Club Rentals $60
Left
Right
 
Spouse/Guest Golf $175
 
 
Club Rentals $60
Left
Right
 
 
Additional Registrant Golf $175

 
Club Rentals $60
Left
Right
 
Spouse/Guest Golf $175
 
 
Club Rentals $60
Left
Right
 
   


PLEASE NOTE:
Shoe rental available upon request soft spike course. Course limited to first 144 golfers to register (please keep this in mind when creating playing partner/special team groups); an overflow course will be used for all additional golfers.

List playing partners and special team arrangements below

 or contact LaKisha Pindell at lpindell@tireindustry.org or at 800.876.8372, ext. 104 by February 1st.
VII. Totals
 
$   Subtotal for Registration Fees  
$   + Subtotal for Golf
$   + Subtotal for Spouse Programs  
$   = Total Due  
 
VIII. METHOD OF PAYMENT
 
  Please bill our credit card...  
* Card Type:
   
* Expiration: 
 
* Card Number:   
* Name On Card:   
Amount: $
 
     
   

Registration Packets will be available for pick-up at the conference.
Registration fees will not be refunded if cancellation is within 30 days prior to conference.

Please allow 5 - 7 business days for credit card processing. Once your payment is received and confirmed, you will receive an acknowledgement via e-mail.