Sponsor Convention Registration Name* First Last Email* Cell PhoneCheck here if it's your first time at a VADA convention! It's my first time! Dealership/Organization* Dealership/Organization Address* City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Your GuestsDO NOT INCLUDE YOURSELF. If you will have more than 5 additional guests, contact ntoler@vada.com.Guest 1: Name Guest 1: Age21+13-205-120-4Guest 2: Name Guest 2: Age21+13-205-120-4Guest 3: Name Guest 3: Age21+13-205-120-4Guest 4: Name Guest 4: Age21+13-205-120-4Guest 5: Name Guest 5: Age21+13-205-120-4Guest/Assistant Email Address(es)Include all that need to be included on Convention information. Golf | Wednesday, June 21 at 12:30pmThe Old White, the first 18-hole golf course at The Greenbrier, was designed by Charles Blair Macdonald and opened for play in 1914. After sustaining substantial damage during the flood of 2016, The Old White reopened in July of 2017, fully restored to its original glory. Cost includes the base fee for the required forecaddie for each foursome. FORECADDIE TIP IS NOT INCLUDED.How many golfers will be in your group?Cost is $400/player. If more than 4, contact ntoler@vada.com. 0 1 2 3 4 Golfer 1: Name Golfer 1: Handicap Golfer 2: Name Golfer 2: Handicap Golfer 3: Name Golfer 3: Handicap Golfer 4: Name Golfer 4: Handicap Payment CalculationInclude yourself and all of your guests. Your Ticket*Please type 1 in the quantity field. Price: $429.00 Quantity: Your guests 21 and up*Type 0 if no attendees of this age. Price: $379.00 Quantity: Your guests 13-20*Type 0 if no attendees of this age. Price: $219.00 Quantity: Your guests 5-12*Type 0 if no attendees of this age. Price: $149.00 Quantity: Your guests 0-4*Type 0 if no attendees of this age. Price: $0.00 Quantity: Total Golfers Price: $400.00 Quantity: Payment Schedule* Pay now by credit card Some or all of this registration is complementary If you are receiving complementary registrations, type BILLME below. Total $0.00 Billing Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Questions? Contact Natalie Toler: (804) 545-3035 | ntoler@vada.com