Conference, Exhibitor & Sponsor Registra on

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2 Conference, Exhibitor & Sponsor Registra on THE OMNI HOMESTEAD RESORT & SPA A Historic Resort During the NUCA of the Carolinas Fall Conference come experience the Omni Homestead resort and spa and enjoy Southern Hospitality and the resorts elegant charm! The resort has over 2,000 acres of meless comforts and ameni es under the same roof! The resort offers indoor and outdoor ac vi es sure to keep guests happy. Two major hot springs are on property offering guests the opportunity to experience the famous mineral waters as did President Thomas Jefferson did in Also available is a two-acre water park, 2 na onally ranked golf courses, and a full service spa like no other. Enjoy the beau ful color of the fall leaves, horseback riding, falconry and much more during your stay at this beau ful resort. Accommoda ons Since our me at the Homestead is scheduled during the peak fall season rooms are limited. Most a endees have already booked their rooms. If you have not reserved your room yet, please do so as soon as possible by calling Melissa Sco at between 8:00 and 4:00 Monday Friday or Reserva ons at Ask for NUCA Group Rate $259.00/night. Group rate honored 2 days pre/post conference dates. Parking is Complimentary for our group. DEADLINE FOR ROOM RESERVATIONS IS SEPTEMBER 12TH Reserva ons for dinner on Thursday night and for Spa appointments at the Homestead must be made in advance by calling the concierge at Plan to a end the Special Friday night Dinner at the Homestead Gun Club and enjoy a gourmet cookout on top of the mountain with a spectacular foliage view, a fire pit, corn hole and networking with your fellow NUCA members! Dress Business casual is acceptable dress for most Conference ac vi es at the Homestead. Logo wear is encouraged for our educa- on sessions and the Welcome Recep on. Collared shirts, slacks and so spikes for golf. Outdoor protec ve ear and eye protec on must be worn at the Skeet Shoot event. Jackets and es and dinner dresses are encouraged for the President s Recep- on and the Awards Banquet on Saturday evening. Tickets and Badges: Each registrant will receive two drink ckets for use at the Welcome Recep on on Thursday night. Only registered a endees will receive drink ckets. For those registered to a end the President s Recep on and Awards Banquet, an addi onal two drink ckets will be inserted into your name badge sleeve. A blue dot on your badge will indicate you have registered/paid for the Friday night dinner at the Gun Club. A red dot on your name badge will indicate that you have registered/paid for the Saturday evening Banquet Dinner. Sea ng is limited to our registered a endees and guests. Please wear your name badge to all events.

3 Thursday October 15, 2015 Schedule of Events Program sessions and speakers are subject to change. Conference Mee ng Room Commonwealth 2:00-5:00 pm Board of Directors Mee ng Lexington 3:00 6:00 pm Exhibitor Set Up Commonwealth 5:00 8:00 pm Registra on Desk Open Commonwealth 6:30 8:00 pm Welcome Recep on & Exhibitors Social Commonwealth Dinner on your own *Dinner reserva ons for the Homestead restaurants must be made in advance by calling the concierge at Friday October 16, :00 9:00 Breakfast in Conference Room Commonwealth 7:45-8:00 Welcome and Announcements Keith Burke Bryant Welch Recap of Mission Trip to Africa with NUCA of the Carolinas donated PPE Kits 8:15 9:00 Louis Panzer & Bradford Barringer Incidents, Trends, & a Road to Reduction 9:00 9:15 Break & Visit with the Exhibitors 9:15 10:00 Louis Panzer & Bradford Barringer Incidents, Trends, & a Road to Reduction Part 2 10:00-10:15 Break & Visit with the Exhibitors 10:15 11:00 Howard Mavity, Fisher Phillips, Attorney at Law Using Temporary Labor 11:00 11:15 Break & Visit with the Exhibitors 11:15 12:00 Howard Mavity, Fisher Phillips, Attorney at Law New OSHA Developments: Penalty increases, Post-Accident drug testing and other employer policies you need to know! 12:15 Sunset Fall Golf Tournament The Homestead Old Course Box Lunches will be placed on golf carts Shot Gun Start at 12:30 p.m. 12:15 - A ernoon on Your Own/ Dinner at the Gun Club for those that sign up! (You won t want to miss it!!)

4 Saturday, October 15, :00 9:00 Breakfast in Conference Room Commonwealth 7:50 8:00 Welcome and Announcements Keith Burke 8:00 8:45 Scott Knoblauch, Caterpillar Earth moving, excavator & truck loading techniques to save you me and money! 8:45 9:00 Break & Visit with the Exhibitors 9:00 9:45 Clay Wisniewski, TA Loving Company NUCA TOP JOB Presenta on 9:45 10:00 Break & Visit with the Exhibitors 10:00 10:45 Jay Wilkerson, Attorney at Law The New Silica Rule and other new Construc on Laws you need to know about! 10:45 11:00 Break & Visit with the Exhibitors 11:00 12:00 NUCA of the Carolinas - Annual Business Meeting Keith Burke - Presiding Elec on of Officers & Board Members for Announcement of Spring Conference Site for April, :00 - A ernoon on your own Enjoy the Homestead! 6:30 7:30 pm President s Recep on - with Silent Auc on Commonwealth 7:30 9:00 pm President s Awards Banquet & Induc on Ceremony Commonwealth

5 Enjoy dinner, fire pit, corn hole, beautiful mountain view and Lots of time to network with your fellow NUCA members!!! Please fill out, add on registra on totals sheet and send with registra on Name(s) Total: x$50.00 =

6 NUCA 2016 Fall Conference Registra on Full Conference Registra on packages include admission to Thursday recep on and two drink ckets, educa on sessions and materials for all registered guests. Friday Dinner at the Gun Club & Saturday Awards Recep on & Dinner requires a separate cket per person. Name Badge Name (Nickname) Spouse/Guest Name Badge Name (Nickname) Other A endees Name(s) and Age(s) (under 12 includes Kid s Meal at Banquet) Company/Sponsored By: Mailing Address City State Zip Telephone # Address: Special Dietary Needs: _ (* Pre-registrations must be received on or before October 1st) Registration Fees Pre-registration *Registration After 10/1/16 Full Conference NUCA Members (Couple).. $ 350 $ 400or Full Conference NUCA Members (Individual) $ 250 $ 300or Full Conference Non-Member (Couple) $ 425 $ 450 or Full Conference Non-Member (Individual) $ 300 $ 325or Daily NUCA Member Rate (Individual) $ 155 $ 180 or Daily Non-Member Rate (Individual) $ 230 $ 255 and/or Children under 18 years of age. $ 65 $ 85 Friday Night Gun Club $50/person x $50 = Sat. Presidents Awards $ 85/person x $85 = Gun Club and Presidents Awards Dinners are by separate cket**) Sub-total Conference Registra on Fees & Dinner Tickets.. $ (Please add total to last page) *NOTE All individuals a ending any of the NUCA of the Carolinas Fall Conference ac vi es, including the recep ons and banquet, must be registered for the conference.

7 Friday, October 14th 12:30 p.m. Modified Shot Gun Start Player #1 Player #2 Player #3 Player #4 $150.00/NUCA Members $180.00/Non Members Mulligan Packets $20.00 (2 Mulligans & 1 Tee Buster) Insert number of registrants above x $ Member Registra on = $ Insert number of registrants above x $ Non-Member Registra on = $ Insert number of Mulligans x $ = $ TOTAL 2016 Fall Conference Golf Tournament: $ **NOTE We have spots for 24 Players Guaranteed Un l September 20, 2016** We are not guaranteed addi onal spots first to pay are first to play! Enter this total on your Conference Registra on Form on the Fall Golf line

8 The Homestead Gun Club Transportation by the Homestead Shuttles THIS EVENT WILL TAKE PLACE FRIDAY, OCTOBER 14TH AT 5:00 P.M. PRIOR TO THE DINNER AT THE GUN CLUB Prizes awarded at the director s (Rick Leonardi) discre on and whim! at the Saturday evening Banquet Entry Fee is $75.00 per shooter Shooter s Name: Experience: (please circle) Experienced Novice 1st Timer Have Gun Need to borrow Gun EAR & EYE PROTECTION AND AMMUNITION IS PROVIDED!

9 SPONSORSHIPS We invite you to assist NUCA of the Carolinas with the produc on of the Fall Conference. In return we offer to you recogni on and our deep apprecia on and the opportunity to contribute to a safer, more produc ve environment for our industry. As a sponsor your company will receive prominent recogni on in the mee ng program, on signage visible during the mee ng and in NUCA of the Carolina newsle er, The Pipeline. We will make every effort to ensure a produc ve experience for you and your company. We greatly appreciate all sponsorships, as without them, this educa onal event would not be possible. Patrons $500 or More Supporters $ Contributors $ Welcome Recep on $1,000 (Exclusive) Welcome Recep on $ (Shared) Breakfast Friday $600 Breakfast Saturday $600 Friday Gun Club (Bar) $1,000 (Exclusive) Awards Recep on $1,000 (Exclusive) Awards Recep on $ (Shared) Awards Banquet Dinner $4,000 (Exclusive) Speaker Sponsors $800 Golf Tournament Trophies $500 Golf Lunches $800 Jim Lowry Skeet Shoot Tournament $300 Jim Lowry Skeet Shoot Trophies $300 Sub-total of Sponsorship.$

10 EXHIBITORS Exhibitor Information: Equipment and supply vendors, insurance agencies, bonding companies, application software companies and rental companies are invited to participate in showcasing their offerings at our table top exhibition, open during the Thursday, October 13 Welcome Reception, and on Friday, October 14 and Saturday, October 15 prior to sessions and during the breaks. Booth spaces DO NOT include electrical or data connections or Conference Registration, which is required of all company representatives staf ing your exhibit. A skirted 6-foot table and/or the space to erect a free-standing display is provided. SPACE IS LIMITED. Table Top Exhibit (NUCA Member).. $ Table Top Exhibit (Non-Member) $ Company Name: Address: City: ST: Zip: Telephone: Fax: Website: Products/Service to be displayed: TOTAL CONFERENCE PAYMENTS Sub-total Conference Registra ons... Sub-total for Friday Dinner at the Gun Club.. Sub-total for Saturday Evening Presidents Banquet Sub-total for Sponsorships Sub-total for Exhibit Space Sub-total Fall Conference Golf Tournament Sub-total of Jim Lowry Skeet Shoot TOTAL CONFERENCE PAYMENTS. $ $ $ $ $ $ $ $ Enclosed is my check for $ Check # or To Pay by Credit Card - Fill out the Credit Card Authoriza on Form on next page or go to

11 Conference Credit Card Authoriza on Credit Card Informa on: Please return by fax (910) ( is not recommended due to security reasons) NAME ON CARD (Please Print) COMPANY NAME (IF APPLICABLE) CARD NUMBER EXPIRATION DATE CVV CODE BILLING ADDRESS FOR CREDIT CARD Address, State and Zip **A 4% Processing Fee will be added to all Credit Card Payments Please send this completed registra on form with a check or Credit Card processing informa on to: Linda Goslee NUCA of the Carolinas P.O. Box Wilmington, N.C Phone Fax (910) info@nucacarolinas.org for Pay Pal Op on

12 If you would like to donate an item(s) Please fill out and return with your registra on form. Auc on to be held at Presidents Awards Banquet NAME: COMPANY: ITEM NAME (s): ITEM VALUE (s): Sample Ideas: Tools/Equipment Rentals/Services Electronics Ladies Accessories Travel Items/Vaca ons Household Goods Jewelry Spor ng Goods Toys/Games Gi Cards/Cer ficates Gi Baskets Golf Items Please deliver items to Linda Goslee at the Registra on Desk