b'Spring Conference CSIA 13April 30 - May 1, 2024 Marriott Griffin Gate Resort & Spa 1800 Newtown Pike - Lexington, KY 40511Please print clearly or Register Online at www.csiaonline.orgUse a separate form for each registrant, and duplicate form as necessary.Company Name____________________________________________________________________________________________________ Full Name ________________________________________________________First Name for Badge ______________________________ Title ______________________________________________ Email _________________________________________________________ Company Address __________________________________________________________________________________________________ City ______________________________________State _______ Zip ____________Country __________________________________ Work Phone ____________________________________________Cell Phone_______________________________________________ Contractor Conference RegistrationSponsorship Opportunities MemberNon-MemberIncludes Recognition on CSIA Social Media, in Event Program,Signage, Pre and Post-Conference Materials and a Sponsor Ribbon on Contractor FULL Registration $595$695Name Badge. Includes Reception, all educational sessions, golf, breakfast, lunch and beverage cart tickets. An Individual Hole Sponsor$125 ContractorEDUCATION ONLY Registration $395$495 Includes Reception, all educational sessions and breakfast.Full Page, Full Color Ad in the Conference On-Site Program$150 Contractor GOLF ONLY Registration$250$350Longest Drive Sponsor $150 Includes Reception, golf, lunch and beverage cart tickets. Closest to the Pin Sponsor$150 Contractor RECEPTION ONLY Registration $100$200 Includes Reception Only!Conference Audio/Visual Sponsor $250 Labor Manual Sponsor $250 Associate Conference Registration MemberNon-MemberContractor Education Sponsor $250Education Lunch Sponsor $250 Associate FULL Registration$650$750 Includes Reception, golf, breakfast, lunch and beverage cart tickets for one personGolf Beverage Cart Sponsor $500 as well as one 6 foot draped tabletop and signage with recognition in pre andpostconference materials.Breakfast Sponsor $500 ADDITIONAL Associate Registration$100$200Golf Lunch Sponsor $500 Can only be purchased in addition to a Full Registration. Includes Reception Only. Golf Outing Prize Sponsor $500 Associate FULL Registration NO GOLF $475$575 Includes Reception, breakfast, and lunch for one person as well as one 6 footReception Food Sponsor $750 draped tabletop and signage with recognition in pre and post conference materials. Reception Beverage Sponsor $750Associate GOLF ONLY Registration $250$350 Includes golf, lunch and beverage cart tickets.Subtotal A $_______________Subtotal B $_______________ Total Payment DueA + B$______________ Cancellation Policy Check to CSIA VisaMCAmExpDiscover All cancellations must be received in writing. A $15 processing fee applies Card # _____________________________ Exp. Date _______ CVV_____to all cancellations. No refunds will be given after April 16, 2024.Name on Card____________________________ Billing Zip Code _______All refunds will be processed after the conference. Hotel Room Block Room Rate: $189.00 + Tax Contact Marriott reservations at 1(800) 228-9290 OR Online: https://www.marriott.com/events/start.mi?id=1675448632956&key=GRPHOTEL ROOM CUT-OFF DATE Reservations by attendees must be received on or before, 5PM, Monday, April 8, 2024. RETURN TO: CSIA - 7250 Poe Ave. Ste. 410 - Dayton, Ohio 45414 orFAX TO: 937-278-0317 csiaonline.orgQUESTIONS?Contact Rachel at:888-294-0084 orrpinkus@assnsoffice.com'