GEORGIA STATE INSPECTORS' ASSOCIATION, INC.
2573 Bonds Lake Road, Conyers, GA, 30012
(770) 595-9887
2021 EDUCATIONALCONFERENCE 
June 13th – 17th, 2021

Villas By the Sea Resort
1175 Beachview Drive
Jekyll Island, GA 31527
(800) 841-6262

Full Registration (Member Only) -  $210.00 (  ) 
Full Registration (Asso. Member)-  $230.00 (  )
Partial Registration (Per day Price) - $ 60.00 (  )
Spouse or Extra Adult -             $ 60.00 Each (  )
Children (12 and under) -           $ 20.00 Each (  )

NAME: _________________________________________ 
EMPLOYER/COMPANY AFFILIATION: ______________________________________ 
POSITION/TITLE: ______________________________________________________________________
	ADDRESS: ____________________________________________________________
CITY: _______________________  STATE: ______________  ZIP CODE _______________ 

PHONE NUMBERS: WORK: ______________________   CELL: ______________________ 
EMAIL ADDRESS: ____________________________________________________________
Others attending: (Everyone must be registered) 
Spouse: _______________________________________ 
	Name: ________________________________________  Adult 	Child 

	Name: ________________________________________  Adult 	Child 

To Pay by Check, make check to: Georgia State Inspectors' Association, Inc. (GSIA)

Mail to:  GSIA, 2573 Bonds Lake Road, Conyers, GA, 30012

To pay by Credit Card go to: www.gsiaonline.com/conference-registration
For additional Information call Ron Anderson (770) 595-9887

YOU ARE RESPONSIBLE FOR YOUR OWN HOTEL RESERVATIONS 
CALL VILLAS BY THE SEA FOR YOUR RESERVATIONS AND REFERENCE GSIA