Pub. 2 2024 Issue 1

Dealers, dealership personnel, Associate Members, sponsors.........................__________ @$500 each =__________ Spouses/Guests............................................................................................. __________ @$250 each =__________ Children under 18 attending meal functions ....................................................__________ @$150 each =__________ Names:_______________________________________________________________________________________ Non-member allied industry friends and their spouses/guests .........................__________ @ $1,000 each =________ Golf .............................................................................................................. __________ @$200 each =__________ TOTAL $__________ Golf Lunch and Scramble - Monday, June 24 {Burnt Pine Golf Club} $200 Each Name____________________________________ Handicap ___________ Name____________________________________ Handicap ___________ Name____________________________________ Handicap ___________ Name____________________________________ Handicap ___________ Names for Badges Name____________________________________ (His)__________________________ (Her)_________________________ Name____________________________________ (His)__________________________ (Her)_________________________ Firm Name______________________________________________________Telephone______________________________ Firm Address__________________________________________________________________________________________ Email Address_________________________________________________________________________________________ (Last) (Last) Street or Box City State Zip (First) (First) (First) (First) Do you have any special needs, such as food allergies, for which you need special accommodations?: _______________________________________________________ Registration includes: Entertainment, Business Sessions, Receptions, Dinners RESERVE A ROOM USING THIS QR CODE OR CALL 850-267-9500 REFERENCE GROUP CODE: AMN June 23-26, 2024 Hilton Sandestin Beach Golf Resort & Spa Alabama Mi i ippi Tenne ee CAR & TRUCK DEALERS CONVENTION JUNE 23-26 2024 Mississippi Automobile Dealers Association 800 Woodlands Pkwy, Ste 100 Ridgeland, Mississippi 39157 Fax 601-956-1877 beth@madaonline.com To register online go to: www.madaonline.com or return registration form with check. 8

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