Company Name: � Supplier � Operator

Member Level: � Bronze � Silver � Gold � Platinum � International � Non-Member

Street Address

City__________________________________State ________________ Postal/ZIP

Main Contact Name Email:

Phone ____________________ Website

TOTAL ___________________

Attendee 1: E-Mail:

Attendee 2: E-Mail:

Attendee 3: E-Mail:

Attendee 4: E-Mail:

Attendee 5: E-Mail:

Attendee 6: E-Mail:

Attendee 7: E-Mail:

Attendee 8: E-Mail:

! Yes, Please! Contact me with more information regarding the PSAI Certification Prep Course & Exam on Saturday, March 28, 2015.

Convention and Trade Show # Attending By Feb 27 Feb 28 - At Event Total Amount (Complimentary Registrations: Silver = 2; Gold = 5 / 3+2; Platinum = 8 / 6+2)

� Individual Registration ___________ $165 $215 ___________

☐ Non PSAI Member ___________ $215 $269 ___________

Nashville, TN March 25-28, 2015

PSAI Convention & Trade Show 2015

Add-On Events # Attending Price Per Person Total Amount

� Auditorium / Museum Tour ___________ $55 ___________

☐ Golf Tournament ___________ $80 ___________

☐ Wild Horse Saloon ___________ $85 ___________

Look for info on these events on the second page

Add-On Events .

Wednesday, March 25

Backstage Tour at the Ryman Auditorium and Johnny Cash Museum Tour

Ryman Auditorium is a National Historic Landmark and must see for anyone visiting Nashville.

Most famous as the home of the Grand Ole Opry from 1943 — 1974. Forbes and National Geographic have bestowed special honors on the Johnny Cash Museum that's a heart warming and inspirational tribute to the hardscrabble upbringing and meteoric career of the Man in Black.

Includes shuttle, tour tickets, and guide. Lunch is on your own.

Wednesday, March 25

Golf Tournament

Enjoy a friendly round of golf with your industry colleagues before the convention goes into full swing!

Tournament attendees will be shuttled from the hotel at 11 AM, with the competition starting at 1 PM. Entrance price includes green fees, cart fees, range balls, and GPS. Lunch is on your own.

$10,000 Hole-In-One prize for the designated hole!

Hosted by PolyJohn.

Friday, March 27

An evening at the Wild Horse Saloon

Another trip to the Wild Horse Saloon - by popular demand!

Enjoy a buffet dinner, live music, dancing and great PSAI company.

Price includes transportation, dinner, entertainment, and applicable taxes/fees.

Want more time to enjoy downtown Nashville? Check out the nightlife and return by taxi at your leisure.

Conference Fee: Includes Speakers, Round Tables, Educational Workshops and lunch on Thursday and Friday. Does NOT include special events, admission fees for add-on events, or PSAI fees for the Certification prep course or exam. Cancellation Policy: Confirmed attendees cancelling prior to 2/25/15 will receive a full refund. Sorry, no refunds thereafter. Please submit all cancellations in writing. Special Needs: Special needs and requests must be made known to the PSAI office 30 days prior to the start of the event. Room Reservations: Gaylord Opryland Resort & Convention Center. Phone: 1.877.491.7397 Address: 2800 Opryland Drive, Nashville, TN 37214 $169 per night + $18 resort fee. Please say you are with PSAI to secure this rate. A group of rooms has been saved, so make your reservations ASAP. RESERVATIONS MUST BE MADE BY 2/17/15 to ensure rate and availability. Please follow this link to make reservations online at the special rate: https://aws.passkey.com/g/28525159

 

Forms can be submitted by email: info@psai.org • fax: 952-854-7560 • mail: PSAI, 2626 E 82nd St, Suite 175, Bloomington, MN 55425

 

Check enclosed or charge total amount: Visa MasterCard American Express

Card Number: __________________________________________________Expiration Date:__________ CSC Code:_____

Cardholder Signature: ___________________________________________________________________________________

Cardholder Name (Please Print): _________________________________________________________________________