When:
Sunday, July 16, 2023 at 1:00 PM PDT
-to-
Wednesday, July 19, 2023 at 1:00 PM PDT

Deadline to Register:
Monday, June 12, 2023



Where:
Montage Deer Valley
9100 Marsac Avenue
Park City, UT 84060
[ Driving Directions ]

Contact:
Jean Patterson
Texas Surplus Lines Assn., Inc.
512-343-9058
jptsla@tsla.org

 

2023 Mid-Year Meeting

Join us for the 2023 Mid-Year Meeting at the beautiful Montage Deer Valley, Park City, Utah, July 16-19. Hear great speakers and network with colleagues. Enjoy optional group activities, receptions and dinner. Separate registration will be used for optional group activities via secure online form. You may use this link or the one that appears on the Confirmation Page after you submit this form.

* Required information

Attendee Information

*First Name:

*Last Name:

*Badge Name: (please list as you want to appear on your name badge)

*Firm Name:

*City:

*State:
--Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

*Phone:

*Email Address:

*Confirm Email Address:

*Cell Phone:

*Are you a first time Mid-Year Meeting attendee?:
Yes
No
*Are you a TSLA Texan under 40?:
Yes
No
*Fee

Type

Fee

Member registration fee

$775.00

Non-Member registration fee

$875.00

Guest Comp fee (speakers and/or invited guests only)

$0.00

Spouse/Guest registration fee

$350.00/$0.00

Guest Information

*First Name:

*Last Name:

*Email address:

*Badge Name: (please list as they want to appear on their name badge)

Fee

Type

Fee

Spouse/Guest registration fee

$350.00

Spouse/Guest comp fee

$0.00

Payment

*Payment Method
Pay with Credit Card
Pay By Check

To Pay by Credit Card:

After pressing the Submit Registration button below, you will see a Submission Confirmation screen with a link to ePayPolicy. Use this link to make your secure online credit card payment.

Please make check payable to:

Texas Surplus Lines Assn., Inc.
9020 Capital of Texas Hwy N. #370
Austin, TX 78759

Payment Summary

Name	Type	Fee
	Total	$

Allow others to see that I have registered.
    (Note: only your name, title, and company information will be shared.)