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 value greater than or equal to 0.

Press + after last child to add additional children

If you want your child(ren) to have a name tag, please list their name(s) here.

Child's Name

First Last

Registration Fees

Registration Type:

Number of Participants for Golf Event - Pine Lakes Course

Price: $141.00 Quantity:

Press + to add golfers

Golfer's Name

First Last

Golfer's Handicap

Corn Hole Tournament Registration:

$10 a player or $20 a team.

Press + to add another player

Name of Corn Hole player

First Last

Sponsorship

I would like to be a Sponsor of the CECA Convention:

Other Amount

I would like to have my logo on the CECA Convention T-shirts for $135:

To have your company logo included on the t-shirts, you must sign up by May 23rd.

Logo

I have sponsored the shirt in the past and you have my logo
I will send my logo to kparker@carolinaseca.org

T-Shirts

Your T-shirt Size:

Spouse/Guest Shirt Size

Press + to add another child shirt

Child T-shirt Size:

CECA Kids Party

The CECA Kids Party will be held nightly from 6:45-11:00 pm at the Marriott Grande Dunes Resort. We will provide the children with dinner each evening along with an exciting Beach Kids Party with carnival games, crafts, and prizes. Dinner will be a kid’s meal of a choice of either: a hamburger or chicken fingers, fries, a cookie, lemonade, and water. The Kids Party is $63 per child per night.
Sitting Service for special needs children is available at no extra charge. Contact Kendall at the CECA Office for information.
* As always, the children are welcome to attend all CECA Events. The Kids Party is an alternative for the children.

Number of kids attending the Kid's Party

Number of nights attending the Kid's Party

Please enter a value less than or equal to 3.

Price of Kid's Party

Price: $63.00

Press + after Allergies to add another child

Child's Name

First Last

Child's Age

Nights attending Children's Party

Thursday
Friday
Saturday

Meal Choice (Thursday)

Hamburger
Chicken Fingers

Meal Choice (Friday)

Hamburger
Chicken Fingers

Meal Choice (Saturday)

Hamburger
Chicken Fingers

Please indicate any food allergies your child has:

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.

CECA Convention Registration Form

Press + after last child to add additional children

Registration Fees

Press + to add golfers

Press + to add another player

Sponsorship

T-Shirts

Press + to add another child shirt

CECA Kids Party

Press + after Allergies to add another child

Billing Information