PRIA and South Carolina Clerks and South Carolina Clerks (includes all programs, Monday Evening –Thursday, unless otherwise noted) Early Bird (register on/before February 6) $395

WINTER SYMPOSIUM REGISTRATION

GOVERNMENT SECTOR EARLY BIRD RATE: REGISTER ON/BEFORE FEBRUARY 6

REGULAR RATE: REGISTER AFTER FEBRUARY 6 OR ON-SITE

*MEMBER RATES*PRIA and South Carolina Clerks

(includes all programs, Monday Evening –Thursday, unless otherwise noted)

Early Bird (register on/before February 6)

$395

Regular (after February 6 or onsite)

$495

*NON-MEMBER RATES*(includes all programs, Monday Evening – Thursday, unless otherwise noted)

Early Bird (register on/before February 6)

$495

Regular (after February 6 or onsite)

$595

*ONE-DAY ONLY* (includes all programs for day of registration, unless otherwise noted)

Early Bird (register on/before February 6)

$175

Regular (after February 6 or onsite)

$225

*ACTIVITY FEES* (Member and Non-Member)

Greenville County Register of Deeds Office Tour Tuesday, February 26, 9 a.m.-Noon $15 (transportation)

*GUEST FEES*(Spouse, Significant Other, Family Member, NOT an employee of your organization)

Registration Fee (includes: 3 breakfasts, 2 lunches, 3 receptions and Offsite Event): $100 Greenville County Register of Deeds Office Tour, Tuesday, February 26: $15 (transportation)

$100

GOVERNMENT SECTOR REGISTRATION FORM (One Registration Form Per Person; Fill In ALL Information)

Name

Title Recording

Jurisdiction

City State

Email Phone

Emergency Contact

Emergency Phone

❑ Do you have any special dietary needs or food allergies? Please specify:

❑ Check here if you are attending a PRIA conference for the first time.

❑ Not a member? Click here for a membership application.

Method of Payment: ❑ Check: Payable to PRIA; enclose form with your check. Mail to: PRIA, 110 Horizon Dr., Ste. 210, Raleigh, NC 27615

❑ Credit Card Type:__________ # ______________________________Expiration: __________ Security Code: ________

Name on Card _______________________________________________________________

Refund Policy: Cancellations on or before February 3 are eligible for a full refund, minus a $50 processing fee. Cancellations after February 3 but before February 17 are eligible for a 50 percent refund. Cancellations on or after February 17 are subject to full forfeiture. Submit cancellation via Fax: 919.459.2075 or Email: [email protected]

❑There will be photography and live video during the conference. I grant permission to PRIA to utilize my image, likeness, actions

and/or statements in any live or recorded audio, video or photograph without further authorization or compensation.

This meeting will be governed by the PRIA Intellectual Property Rights Policy and the PRIA Antitrust Policy. These policies can be found in the PRIA Operating Rules posted at www.pria.us.By participating and signing below, you are agreeing to abide by these policies.

Signature (required): ____________________

Registration Type Cost Total

PRIA Member or South Carolina Clerk

❑ Early Bird (register on/before February 6) $395

❑ Regular Rate (after February or onsite) $495

Non-member

❑ Early Bird (register on/before February 6) $495

❑ Regular (after February 6 or onsite) $595

One-Day Only

❑ Early Bird (register on/before February 6) $175

❑ Tuesday ❑ Wednesday ❑ Thursday

❑ Regular (after February 6 or onsite) $225

❑ Tuesday ❑ Wednesday ❑ Thursday

Additional Activity Fees

❑ Tour of Greenville County Register of Deeds Office $15

Guest

Guest Name:

❑ Registration $100

❑ Tour of Greenville County Register of Deeds Office $15

TOTAL AMOUNT DUE