SBCA November Dinner Meeting
DATE:
Wednesday, November 14, 2018

TIME:
5:00pm - Registration Opens
5:30pm - Happy Hour
6:30pm - Dinner & General Meeting

LOCATION:
Lakewood Ranch Golf & Country Club (7650 Legacy Blvd., Lakewood Ranch, FL 34202)

CEU Presentation
Sarasota Orthopedic Associates
Topic - TBA
DINNER
If you have specific dietary restrictions and need an alternate dish prepared, please note on the form below.
RSVP
The deadline to RSVP is Monday, November 12, as a final headcount is due to the venue by this date. Please note, because the SBCA is guaranteeing a certain number of plates, if you are unable to attend the meeting and do not cancel prior to November 12, we will issue a bill for the dinner fee.

We're looking forward to seeing you!

PAYMENT
Payments may be made online using Paypal's online checkout system or at the door. To pay online, please visit www.mysbca.com and complete the section titled "2018 Monthly Dinner Meeting Registrations."
Attendee First Name *
Your answer
Attendee Last Name *
Your answer
Attendee Title *
Your answer
Company *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
I am an Adjuster or NCM and have received confirmation of sponsorship from the following individual (please provide full name and company name):
Your answer
I am a Vendor and have agreed to sponsor the following individual(s) (please provide full name and company name):
Your answer
Please list any dietary restrictions, if applicable.
Your answer
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