2012 Fall Conference October 29-31, 2012 Pearl River Resort Choctaw, MS Questions: Angela Barial AFMM Treasurer abarial@mema.ms.gov Or 601-933-6608 Location and Lodging Location: The conference is at the Pearl River Resort, Hwy 16 West, Choctaw, MS. Lodging: Rooms will be at the Silver Star Casino. A special conference rate of $79.00 plus tax, per night, has been established at the Pearl River Resort. Reserve your room by calling Pearl River Resort at 1-866-44-PEARL and use the group code GMAFPM2. The deadline for reserving your hotel room is Monday, October 8, 2012. Registration Registration: Registration covers conference luncheon, breaks, workshop materials, and evening social. The cost is $100.00 for AFMM members, $75 for College Students and $150.00 for Non Members. The deadline date for registration will be October 15, 2012. On Site registration will be an additional $50. The conference will start at 1:00 pm on October 29, 2012. Please make checks payable to AFMM. Exhibitors & Sponsors Exhibitors: Companies and organizations will exhibit their products, services, and activities Wednesday afternoon and all day Thursday. Sponsors: We invite you to be a sponsor for the Spring Conference or donate a door prize. All sponsors will be identified in the conference program, at workshops, and during the luncheon. Sponsor/Exhibitor Level Bronze Cost Includes $125.00 Silver $300.00 Gold $500.00 Platinum $800.00 Logo and Company information included in the conference program book and recognition Same as Bronze and an Exhibitor Table Same as Bronze and 1 attendee registration Same as Gold and two attendee registrations AFMM 2012 Fall Conference Registration Form (Please use one form per person) The registration fees cover luncheon, breaks, workshop material, and evening social event. Membership Status AFMM Member Non-member Student Rate Conference Cost $100.00 $150.00 $75.00 On Site Registration will be an additional $50.00. If you have any questions, please contact Angela Barial at abarial@mema.ms.gov or 601-933-6608 Mail: Angela Barial, c/o MEMA, P. O. Box 5644, Pearl, MS 39208 Make your check payable to: AFMM Name:________________________________________________________ Professional Designation(s): □ CFM □PE □PS □GISP □ Other____________ Title:_________________________________________________________ Organization:___________________________________________________ Mailing Address:________________________________________________ Phone:_____________________ Email*:___________________________ Type of Registration:__________________ Amount Due $_________________ *You will receive a confirmation by email. If you do not receive a confirmation email within a week please contact Angela Barial at abarial@mema.ms.gov or 601-9336608. Fall 2012 Conference October 29-31, 2012 in Choctaw, MS Sponsor Form AFMM 2012 Fall Conference will be held October 29-31, 2012 at the Pearl River Resort in Choctaw, MS. The conference provides a forum for professionals involved in floodplain management throughout the state to meet and share their knowledge and experience. We invite you to be a conference sponsor/exhibitor for 2012. All sponsors/exhibitors will be recognized in the conference program and at workshops and luncheon. Please check your sponsorship/exhibitor level of choice: ____ Platinum Sponsor/Exhibitor (circle one) $800.00 ____ Gold Sponsor/Exhibitor (circle one) $500.00 ____ Silver Sponsor/Exhibitor (circle one) $300.00 ____ Bronze Sponsor/Exhibitor (circle one) $125.00 And/or ____ Door Prize Contact Name:__________________________________________________ Organization:___________________________________________________ Address: ______________________________________________________ City:_______________________ State:__________ Zip:________________ Telephone:______________________ Email:__________________________ Important! Use of your company logo is included in your sponsorship/exhibitor benefits; please transmit it electronically to abarial@mema.ms.gov. Door Prize Information Our traditional door prizes are awarded during the general membership meeting and we will also present door prizes at the luncheon. We welcome door prize contributions in support of the conference. Door prizes may be specific items or monetary contributions for door prizes. You may make arrangements to deliver the door prizes to an AFMM officer in your area or bring them to the conference. The following door prize(s) will be contributed:____________________________ I will deliver the door prize to ________________________________________ Enclose a check payable to AFMM- Angela Barial, c/o MEMA, P. O. Box 5644, Pearl, MS 39208 If you have any questions, please contact Angela Barial at abarial@mema.ms.gov or (601) 933-6608. Thank you for your interest and support.