AFA Annual Meeting Pre-Registration, 27th Annual Meeting, Mobile, AL, Feb. 2-4, 2011 at the Renaissance Mobile Riverview Hotel

Filling out this form online will allow you to pre-register and pre-pay for the meeting using your credit card. Your name and contact information will be collected during the billing process. Please use your business address for the shipping address so that we will have that information for the meeting program. If you do not wish to pay for your registration at this time but still wish to pre-register you can print out the Registration Form and mail or fax it.

Registration Fee: (membership included in registration fee) If you would like to register for more than one individual please add registrations to the cart and send us a list of their names so that we can make name tags.jmiller@adem.state.al.us	Regular Member Fee $130 ( includes a banquet ticket) ***If pre-paying before JAN. 7, 2011 includes free t-shirt***	Free Shirt Size*** Medium $0.00 Large $0.00 Xtra Large $0.00 2X Large $0.00
	Member Students/Retirees $60 ***If pre-paying before JAN. 7, 2011 includes free t-shirt***	Free Shirt Size*** Medium $0.00 Large $0.00 Xtra Large $0.00 2X Large $0.00
	Banquet Only (or extra banquet ticket)
	Guest Non_Conference Registration Fee $75 ** Includes: Social, Banquet, & 2 Buffet Breakfasts Only
Membership:	(ONLY for non-registrants who would like to be members, otherwise your membership is included in your meeting registration - $5.00/year
Raffle or Door Prize Tickets (Door prizes are small and numerous while the raffle prizes are few but expensive)	Door Prize $1 Each
	Door Prize 15 tickets for $10
	Door Prize (30 tickets for $20)
	Raffle Tickets $1 each
	Raffle Tickets 15 for $10
	Raffle Tickets 30 for $20
AFA Apparel See the new brochure for more information and additional items.
	Addtional Short Sleeve Shirt $12 Size and availability garaunteed only if purchased prior to Jan. 7, 2011	Shirt Size SMMEDLGXLXXL
	Polo Shirts - $18 Cotton Pique Knit Sport Shirt (See Brochure)	Shirt size Medium Large Xtra Large XXLarge Style Men's Women's Color White Light Steel (grey) Light Blue
	Long Sleeve Button Up - $22 Wrinke Resistant, 55/45 cotton/poly	Shirt size Medium Large Xtra Large XXLarge Style Men's Women's Color White Light Blue
	Columbia Bonehead Fishing Shirt - $42 w/ Embroidered AFA Logo	Shirt size Medium Large Xtra Large XXLarge Color Fossil WhiteCap
	AFA Logo Hat $10
	Long Sleeve T-Shirt $15	Shirt size Small Medium Large Xtra Large XXLarge
Sponsorship Opportunities Review the Benefits	Gold Level Sponsor - $500
	Silver Sponsor - $250
	Bronze Sponsor - $100
(Optional) Donation to the AFA Scholarship fund $1 increments ($5 suggested)		Donation Option 1 $1.00 Option 2 $5.00 Option 3 $10.00
(Optional) Donation to the Contributing Biologist Award Fund $1 increments In Memory of Malcom Pierson ($10 suggested)		Donation Option 1 $1.00 Option 2 $5.00 Option 3 $10.00
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Don't forget to print your receipt for your records at the completion of the check out process. You will also receive an email confirmation.