Society of Accredited Marine Surveyors®, Inc.

Calendar of Events

Florida Region Meeting Registration Form

The Florida Region will be holding a Meeting & Educational Seminar on Saturday March 10, 2012, at the Pelican Yacht Club Fort Pierce, Florida. 6 CE Credits. Please remit fee no later than February 15, 2012.

You can fill out this form on your screen, then print it.
Name:	- AMS#: or SA:
Spouse/Guest:
Company:
Address:
City:	, State/Province: , Zip:
Phones:

Visa, MasterCard or Discover payments may be called in to the International Office Telephone: 800-344-9077 - Fax: 904-388-3958 Card #: - - - Exp. Date: 3 Digit Security Code Meeting cost $70.00 USD per person. Total Enclosed: $ USD. Make Cheques payable to SAMS® and mail to:

Robert Heekin Encore Ltd Inc 2605 East Atlantic Blvd. Suite 211 Pompano Beach, FL 33062

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