In association with AGTOA     

17th Annual
International Simulcast Conference
October 12 - 14, 2009
REGISTRATION FORM

(Please use a separate form for each registrant.) 
Name: _____________________________________ CPAs - Need CPE Credit?
Track/Company: _____________________________________

_____YES    

Address: _____________________________________    
_____________________________________  
Phone: _____________________________________  
Fax: _____________________________________  
Email: _____________________________________  
Name as you would like it on name badge: _____________________________________  
 
Date/Time of Arrival:___________________________ Date/Time of Departure:___________________________
   
Circle your area of responsibility:
 
Accounting Simulcast Coordination Tote/Mutuels Service Provider MIS Legal Other

CONFERENCE REGISTRATION FEES THROUGH SEPTEMBER 25:

TRA:  $125 HTA:  $125 AGTOA:  $125 OTHER:  $370

To qualify for the reduced rate, you must be an employee of a TRA, HTA or AGTOA track.
Payment by check must accompany registration and be made payable to TRA.
Cancellation fee:  $25 processing fee will be assessed.

REGISTRATION FEE AFTER SEPTEMBER 25:  $450/PERSON

Please mail registration form and check to:

Simulcast Conference
Thoroughbred Racing Associations
420 Fair Hill Drive, Suite 1
Elkton, MD 21921-2573

We do not accept credit cards.

Amount Enclosed: _________ U.S. dollars.

   
If you have questions or need further clarification of the registration fees, please contact Margie Pollard,
410-392-9200 x 221 or margiep@tra-online.com.  Fax: 410-398-1366.