GEORGIA STATE INSPECTOR’S 
ASSOCIATION, INC.

2573 Bonds Lake Road, Conyers, GA, 30012 
(770) 595-9887
2021 EDUCATIONALCONFERENCE 
June 13th – 17th, 2021
YOU ARE RESPONSIBLE FOR YOUR OWN HOTEL RESERVATIONS 

Villas By the Sea Resort
1175 Beachview Drive
Jekyll Island, GA 31527
(800) 841-6262
NAME: ___________________________________________________________ 
EMPLOYER/COMPANY AFFILIATION: _______________________________ 
POSITION/TITLE: __________________________________________________ 
ADDRESS: ________________________________________________________ 

CITY: _________________   State:_________  ZIP: ______________

PHONE NUMBERS: WORK: ______________            CELL: ____________
 EMAIL ADDRESS: ______________________________________________ 
Vendor Fee = $ 225.00 Per Table.
Vendor Package included the following:
1 - 3 ft x 6 ft Table. Room for other displays and allotted time on program (l Hr.)
Conference registration is not included in this price. Additional $175.00 per person
Conference starts 9:00 am Monday. Displays only allowed for one day although time may 
be extended. Be prepared to take down displayed when notified.
My Company would like to sponsor an event. Please contact me. (  )
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: http://www.gsiaonline.com/vendor-registration