Conference On-Site Registration ON-SITE Registration Form Name*FirstLast Phone:* Area Code - Phone Number E-mail:* Physical Address:* Street Address City State / Province / Region Postal / Zip Code Name of Local Affiliated Club: (Enter "none" if you have no local club membership)* DAILY REGISTRATION MEMBER Daily Registration EARLY BIRD RATE - ONLY use this option IF specified on the MASTER REG LISTThursday, July 18 - SCBA Member Day Rate BEFORE July 1st - $55Friday, July 19 - SCBA Member Day Rate BEFORE July 1st - $55Saturday, July 20 - SCBA Member Day Rate BEFORE July 1st - $55 MEMBER Daily Registration Thursday, July 18 - SCBA Member Day Rate After June 30th - $65Friday, July 19 - SCBA Member Day Rate After June 30th - $65Saturday, July 20 - SCBA Member Day Rate After June 30th - $65 NON-MEMBER Daily Registration Thursday, July 18 - Non-Member Day Rate After June 30th - $75Friday, July 19 - Non-Member Day Rate After June 30th - $75Saturday, July 20 - Non-Member Day Rate After June 30th - $75 FULL CONFERENCE REGISTRATION: Thursday, Friday, Saturday MEMBER Registration: FULL ConferenceFull Conference (Thursday, Friday, Saturday) - SCBA Member BEFORE July 1st - $130Full Conference (Thursday, Friday, Saturday) - SCBA Member AFTER June 30th - $145 YOUTH Registration: FULL Conference - NO Daily Rate is Offered.Full Conference (Thursday, Friday, Saturday) - YOUTH AFTER June 30th - $65 NON-MEMBER Registration: FULL Conference:Full Conference (Thursday, Friday, Saturday) - Non-Member AFTER June 30th - $155 OPTIONAL: ADD-ONs REGISTRATION CLOSED Optional Add On: Friday Night Catered Dinner with Cash Bar **Please Note: Deadline to Register for the Catered Dinner is June 30th** ONLY those specified on the MASTER REG LIST may pay for the BBQ on-site.Member Catered Dinner - $30 Optional Master Beekeeper Testing: Prerequisites are required. REGISTRATION CLOSED. Only those indicated on the MASTER REG LIST may pay for testing on-site.Certified Level - $10Journeyman Level - $35Master Level - $75Refund Policy:Requests may be submitted through the "Contact Us" form on the main conference web page. Refunds requested before July 1st will incur a $25 fee to be subtracted from the refund. Registrations cancelled after June 30th are NON-REFUNDABLE. On-Site registrations are NON-REFUNDABLE. Payment Option:Credit or Debit CardCash Total: NOTES: ________________________________________Online Payment InformationTo Complete Your Order, Please Click Secure Checkout Below.You will be taken to PayPal to complete the payment process.Note: No credit card information is stored in the SCBA website.SubmitResetSecure Check OutReset