Registration

First name

Last name

Email

Agency name

Guest(s) Name(s) and Agency Name

Payment: (Read note below)

Member ($30 + $1.20 cc surcharge)$31.2

Guest(s) ($40 + $1.60 cc surcharge)$41.6

NOTE: Your information will be received even if you do not press "Submit" We will confirm your RSVP via email.

Payments in advance are very much encouraged. If you prefer not to pay with credit card, you may always pay via Zelle to info@tiaflorida.org (members $30 - guests $40) or at the door with cash or check.

Thank you for your cooperation