Name ______________________________________________________________________________

Title ________________________________________________________________________________

Spouse/Guest Name __________________________________________________________________

Company Name ______________________________________________________________________

Company Address ____________________________________________________________________

City __________________________________________________State ________ Zip ____________

Telephone __________________________________ Fax ____________________________________

Email ______________________________________________________________________________

Mobile______________________________________________________________________________

Emergency Contact Name & Telephone __________________________________________________

Your email address will only be used for Forum purposes, and will not be sold.

FEES

RegistrationASCC Member Fee: $750 . . . . . . . ____________ Non-member Fee: $825. . . . . . . . . . __________

Spouse/Guest: $470 . . . . . . . . . . . . ____________ Spouse/Guest: $550 . . . . . . . . . . . . . __________

Dinner Only: Thursday ($100) Saturday ($150) Thursday #_____ Saturday #_____

Dinner Only Children: Thursday ($35) Saturday ($35) Thursday #_____ Saturday #_____

Total Registration Fee __________________GolfSaturday, July 27 – 12: 00 shotgun start - Ocean Golf Course (40 players)

18-hole Fee: $105. . . . . . . . . . . . . . . . . ____________ Golf Club Rentals: $55 . . . . . . . . . . . . __________

❍ Left Handed ❍ Right Handed

Total Golf Fee __________________Sand Castle BuildingFriday, July 26

Per Person: $60 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . __________Children 12 & under, no charge.

TOTAL FEES - Registration, Golf & Sand Castle . . . . . . . . . . . __________________

PAYMENT❍ Check is enclosed, payable to American Society of Concrete Contractors

❍ Visa ❍ Mastercard ❍ Amex

Card Number ________________________________________________________________________

Exp. Date ____________________________________________________________________________

Name on Card________________________________________________________________________

Signature (required) __________________________________________________________________________

Fax or Mail Completed Form with Payment To:

Mail: ASCC, 2025 S. Brentwood Blvd., Suite 105, St. Louis, MO 63144

Telephone: 314-962-0210 Fax: 314-968-4367

Register Online @ www.ascconline.org.

Registration Form (register online at www.ascconline.org)

For more than one attendee from the same company please photocopy this form.

Mario Garza

Economic Update

One of the Forum’s highest rated speakers, Anirban Basu returns for a third consecutive year. As ABC’s chief economist, Basu provides analysis of the global, national and regional economies; �nancial markets; labor markets; real estate and other aspects of the economic landscape. Attendees will have the opportunity to ask Basu to address speci�c topics of particular interest.

Incident and Injury-Free: Making it Personal

A. Ross Myers, CEO and Chairman, American Infrastructure, is a �rm believer in and practitioner of Incident and Injury-free (IIF), the cultural shift that seeks to create a zero-incident worksite through a shared sense of responsibility and caring between labor and management. IIF is designed to shift the focus of safety from a compliance requirement to a concern for workers’ health and welfare via practices such as a personally-connected jobsite, delegating work in the safest manner possible, and eschewing traditional safety measur-ements in lieu of forging relationships. Myers will share his personal journey of improving the safety culture and record of his company using the IIF program. “If everyone in the pool is a lifeguard then no one gets hurt.”

SpeakersLeadership and Accountability When It Matters

The privilege and burden of leadership comes with a level of accountability that many aspire to emulate and anyone can rise up to and achieve. Using a devastating suicide terrorist attack as a backdrop, Commander Lippold conveys how the principle of integrity created an environ-ment for leadership where his crew felt imbued with a sense of ownership, seizing the opportunity to be responsible for their ship and not just their jobs. Their own sense of personal accountability and leadership proved to be a guiding principle in the crucible of combat. Lippold shares why his “Five Pillars of Leadership” are must-have business tenets for any team.

The Financial Crisis and the Free Market Cure

John Allison, President and CEO of the CATO Institute, will share his thoughts on his recently published book, The Financial Crisis and the Free Market Cure. As one of the longest-serving CEOs of BB&T, a top-25 �nancial institution, John has a unique inside view of the events leading up to the �nancial crisis. He has seen the direct impact of government incentives on the real estate market and how government regulations have made matters worse.

Commander Kirk Lippold, Commander of USS Cole

A. Ross MyersCEO and Chairman, American Infrastructure

Anirban BasuChief Economist, Associated Builders and Contractors

John Allison,President and CEO of the CATO Institute

Legendary LuxurySet amidst breathtaking beauty in a world-famous locale, The Breakers Palm Beach upholds its legendary heritage of timeless luxury and uncompromising personal service. Magni�cent architecture and opulent design make a stunning �rst impression while the elegant re�nement, combined with a captivating island resort experience will linger long after you’ve returned to the real world.

Accommodations Spacious comfort and elegant design are signatures in each of the 560 guest rooms and suites. Guests will stay in Deluxe King Rooms and Classic Suites at the discounted rate of $245/night. Breathtaking views of the ocean, pool, garden or skyline bring the resort within, while the sumptuous surroundings invite you to relax and refresh.

Cancellation, failure to show, late arrival or early departure on or after July 22nd will be charged to the individual at the applicable room rate. For reservations call 888-273-2537 and mention American Society of Concrete Contractors to receive the group discount.

Spouse / Guest EventsWelcome Brunch – Friday

Reconnect with old friends and welcome our new guests to the Forum at an informal brunch in the beautiful Magnolia Room.

Worth Avenue Tour – Saturday

For more than a century, Worth Avenue has been a byword for the good life, island mystique and the best shopping in the world. Spend the morning strolling this famous destination under the azure South Florida sky, the bougainvillea blooming and the slight ocean breeze ru�ing your shopping bags. As you walk, you’ll visit tropical vias and courtyards designed by architect

Addison Mizner, with a stop at the area’s most popular consignment store. Between stops, your guide will cover the history of this extraordinary destination and share the juicy gossip that comes with it. When the tour is complete, continue shopping or select one of the legendary dining establishments for lunch.

Family Event – Sand Castle Building

What’s a better beach activity than building a sand castle? The whole family can participate in this group challenge that promotes teamwork, communication, creativity and attention to detail, and some friendly ASCC competition. Each team is equipped with professional sand sculpting tools and given instructions on making the “perfect” sand castle. Castles are judged on durability, creativity and construction techniques. Have a great time and make another great Forum memory. $60 per person. No charge for children 12 and under.

The Spa at The BreakersRecognized as one of the top spas in North America, this oceanfront oasis features private massage and treatment rooms, a full-service salon, an ocean-view �tness center and a whirlpool spa. The comprehensive spa menu includes a wide array of services with special oceanfront o�erings such as the Moonlight Massage, A Walk on the Beach Pedicure, the Orchidée Impériale Facial and the Coconut Smoothing Scrub.

ActivitiesPalm Beach and the surrounding area o�er a host of recreational, historic, educational, upscale shopping and dining opportunities within a short walk or an easy drive from the resort. On-site amenities include:

• 5 heated, oceanfront pools and 4 whirlpool spas

• Half mile of private beach

• 25 luxury beach bungalows including personal concierge

• Oceanfront spa, beauty salon and two fitness centers

• 36 holes of championship golf, including the historic Ocean Course and the contemporary Rees Jones Course at Breakers West

• John Webster Golf Academy

• Ten lighted Har-Tru tennis courts

• 11 shopping boutiques

• Nine distinct restaurants and six bars

• Family Entertainment Center including toddlers’ playroom, arcade, craft area, movie room, video game room, and outdoor sports court and playroom

• Snorkeling, scuba diving, catamaran cruises and other water sports

• Coconut Crew Children’s Camp

GolfThe resort’s traditional 18-hole, par 70, 6,167 yard Ocean Course was recently restored to its original grandeur. After the game, guests can relax at The Ocean Golf & Tennis Clubhouse, featuring The Flagler Steakhouse and The Sports Pro Shop. Located at Breakers West, The Breakers Rees Jones Course is a challenging course, designed in Jones’ renowned neo-classic style. Golf instruction is available at The Breakers Golf Academy.

TransportationThe Breakers is just six miles from the Palm Beach International Airport. Limousine, sedan and van services are available. 24-hour valet parking. On-site car rental. To reserve transfer from the airport call Dav El Transportation at 561-687-9454.

ClimateAverage yearly temperature in the upper 70s Fahrenheit (21 Celsius). Recom-mended to bring a sweater or light jacket.

Thursday, July 25th

3:00 – 5:00 p.m. Registration

5:30 – 9:00 p.m. Opening Reception and Dinner (Business Casual)Keynote Speaker: Commander Kirk Lippold “Leadership and Accountability When It Matters”

Friday, July 26th

7:45 – 8:30 a.m. Continental Breakfast

8:30 – 8:35 a.m. Welcome/Announcements

8:35 – 9:40 a.m. Speaker: John Allison“The Financial Crisis & the Free Market Cure”

9:30 – 10:30 a.m. Spouse/Guest Brunch

9:45 – 10:15 a.m. Co�ee Break/Time Out

10:15 – 11:30 p.m. Speaker: A. Ross Myers“Incident and Injury-Free: Making it Personal”

12:00 noon Lunch

1:15 – 2:15 p.m. Contractor Roundtables

2:30 – 4:30 p.m. Sand Castle Building (registration required)

6:00 – 7:00 p.m. Reception Dinner on Your Own

Saturday, July 27th

8:00 – 8:30 a.m. Continental Breakfast

8:30 – 10:30 a.m. Speaker: Anirban Basu“Economic Update”

9:00 – 1:00 p.m. Spouse EventWorth Avenue Tour (lunch on your own)

10:30 – 11:30 a.m. Contractor Roundtables

12:00 – 6:00 p.m. Golf Tournament

6:30 – 9:30 p.m. Reception, Dinner & Golf Awards

Sunday, July 28th

6:30 – 8:30 a.m. A Warm Goodbye

Schedule of Events

"Give your soul some elbow room." Denise Sharp

“The time you enjoy wasting is not wasted time.” Bertrand Russell

“The best companies will move heaven and earth to help

their people balance their lives.”

Dan Zadra “The best companies will move heaven and earth to help

their people balance their lives.”

Dan Zadra

Forum Update

SpeakersUnfortunately John Allison had to cancel his speaking engagement for the Forum. We are very pleased that Dan Mitchell, also with the CATO Institute, will be speaking in John’s place.

“America’s Future Greek-Style Fiscal Meltdown – and How to Prevent It”

Daniel J. Mitchell is a top expert on tax reform and supply-side tax policy. Prior to joining CATO Institute he was a senior fellow with The Heritage Foundation, and an economist for Senator Bob Packwood and the Senate Finance Committee. Mitchell also served on the 1988 Bush/Quayle transition team and was Director of Tax and Budget Policy for Citizens for a Sound Economy. His articles can be found in the Wall Street Journal, New York Times, Investor’s Business Daily, and Washington Times. He is a frequent guest on radio and television and a popular speaker.

Mostly because of demographic changes and poorly designed entitlement programs, the burden of government spending will dramatically increase over the next couple of decades. Much as has been the case in Europe, this will lead to crippling tax increases and rising levels of indebtedness – and eventually to a �scal crisis. But this result is not cast in stone, according to Mitchell. He will address how reasonable reforms today can easily avert this future meltdown and put the United States on a path to economic rejuvenation.

GolfThursday a.m. golf is available beginning at 8:30 a.m. on the Ocean Course. Individual pay. To schedule contact ASCC golf pro Jack Cooney at jcooney@somero.com and copy Bev, bgarnant@ascconline.org

CroquetDue to the popularity of the 2011 Pinehurst croquet tournament we have scheduled another at The Breakers for 2:30 p.m., Thursday. Cost is $70 per person. Please email or fax the form below to the o�ce if you would like to play.

Name(s) ______________________________________________________________________

______________________________________________________________________

TOTAL FEES - Per Person: $70 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______________

❍ Check is enclosed, payable to American Society of Concrete Contractors

❍ Visa ❍ Mastercard ❍ Amex

Card Number __________________________________________________________________

Exp. Date ______________________________________________________________________

Name on Card__________________________________________________________________

Signature (required) ____________________________________________________________________

(This form is for croquet only.)