Industry Rep Registration

Don’t miss your best opportunity of the summer to connect with your customers, and potential customers.

SACS 2019 Exhibitor REP Registration Form

Your company must have completed a Sponsor/Exhibitor Agreement and submitted payment prior to your registration. Credit card payments will be processed electronically.

Company Name*

First Name*

Last Name*

Work Email*

Address*

City*

State*

Postal Code*

Office Phone*

Mobile Phone

Spouse/ Guest/ Family Registration

Please indicate a quantity from each applicable field below. Your selection(s) will calculate automatically and provide a total below.

Spouse/Guest:

$200 (anyone over 20)

Spouse/Adult Guest Name:

Spouse/Adult Guest(s) Names:

Spouse Email

Children's Fee over 4 yrs. old ($50 per child):

Children's Fee under 4 yrs. (no charge):

Golf

(Optional) Golf Friday:

$75 per person

Grand Total: $

EVENT ATTENDANCE

The following information is requested to assist us with planning each function. Please indicate the events you, your spouse/guest and family will be attending:

Adults*

Friday Dinner

Children*

Friday Dinner

Children*

Saturday Youth Program

Adults*

Saturday Reception/Dinner (adults only)

Adults*

Sunday Brunch

Children*

Sunday Brunch

CANCELLATION / REFUNDS

On or before April 15, 2019: 25% Cancellation Fee
April 16 - June 14, 2019: 50% Cancellation Fee
After June 15, 2019: No Refunds

PAYMENT METHODS

Select Payment Method:*

Check: Mail to SACS, 10300 Brier Mill Court, Alpharetta, GA 30022

Credit Card (AX, VI, MC)

Card Number:*

Name (as it appears on card):*

Billing Address:*

Billing Zip Code:*

Expiration Month:*

Expiration Year:*

CVV:*

Please only press the submit button ONCE. This process may take a few moments to complete as payment will be processed upon submission of this form. Thanks for your patience!

Updates:
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  On behalf of the Steering Committee for the South Atlantic Cardiovascular Society (SACS), I am pleased to invite you to…
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MISSION:

The mission of the South Atlantic Cardiovascular Society is to promote the advancement of current knowledge and skills in the field of cardiovascular care and to improve cardiovascular patient care.
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South Atlantic Cardiovascular Society A Non-Profit Organization for Cardiac Professionals
10300 Brier Mill Court
Alpharetta, Georgia, USA 30022
770-751-1461 Barb@bhevents.net

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Accommodation Links

Useful Links

Industry Rep Registration

Spouse/ Guest/ Family Registration

Golf

Grand Total: $

EVENT ATTENDANCE

CANCELLATION / REFUNDS

PAYMENT METHODS

Updates:

Newsletter Signup

MISSION:

Connect With Us

Useful Links

Quick Contact