Convention Registration Form | CECA - Carolinas Electrical Contractors Association

Name*

First Last

Spouse/Guest Name

First Last

Company Name*

Lifetime Members, please put Lifetime Member or the company from which you retired.

Mailing Address*

Address Address Line 2 City State ZIP Code

Email*

Phone

Please provide the number of children attending with you so we have an accurate headcount:

Please enter a number greater than or equal to 0.

Child 1 Name

First Last

Child 2 Name

First Last

Child 3 Name

First Last

Child 4 Name

First Last

Child 5 Name

First Last

Registration Fees

Registration Type:

Number of Participants for Golf Event - Pine Lakes Golf Club

Price: $175.00

Golf will be straight Captain's Choice, so you may send us your team names or we will be glad to assign you to a team.

Golfer 1 Name

First Last

Golfer 1 Handicap

Golfer 2 Name

First Last

Golfer 2 Handicap

Spouse Event – Painting in Paradise - Brunch and Painting Class Class

Adult to attend Painting in Paradise Class - Includes Brunch & Drinks

Price: $150.00

Ages 21 and up will be considered an Adult

Number of kids to attend Brunch and Painting in Paradise Class

Price: $65.00

ages 8 to 20

Adult Name 1 to attend Brunch and Painting Class

First Last

Adult Name 2 to attend Brunch and Painting Class

First Last

Corn Hole Tournament Registration:

$20 a player or $40 a team.

Name of Corn Hole player 1

First Last

Name of Corn Hole player 2 (if team)

First Last

I would like to sponsor the CECA Convention T-shirts for $162:

Each Registrant, Spouse/Guest and Children will receive a Convention T-Shirt. We will have signs displaying the logos of the shirt sponsors at the events. We hope all members will support this with a shirt sponsorship. Only one person from a company should sign up for this. This sponsorship opportunity is for CECA Members Only.

Sponsorship

I would like to be a Sponsor of the CECA Convention: We have new Sponsor Levels Available

Please consider giving a sponsorship to help us offset the hotel's food and beverage price increases. Sponsors will be recognized with signage at the Convention, recognition on their name tags and recognition in the Carolina Current Magazine.

Other Amount

T-Shirt Sizes - Each Registrant, Spouse/Guest and Children receive a Convention T-Shirt

Your T-shirt Size:

Spouse/Guest Shirt Size

Child 1 T-shirt Size:

Child 2 T-shirt Size:

Child 3 T-shirt Size:

Child 4 T-shirt Size:

Child 5 T-shirt Size:

Billing Information

Please make sure the following information is as it appears on the credit card statement to ensure proper billing.

Billing Amount:

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

CANCELLATION POLICY: Full Refund prior to May 24th; $100 Service Charge, May 25th - June 1st; No Refunds after June 1.

Phone

This field is for validation purposes and should be left unchanged.

2022 CECA Convention Registration Form

Registration Fees

Sponsorship

T-Shirt Sizes - Each Registrant, Spouse/Guest and Children receive a Convention T-Shirt

Billing Information