Yes I have attended an ILDA Meeting
No, I have not attended an ILDA Meeting

Number Attending 01234

Check number(s) attending: (NOTE: Cost of all meals is included in Registration fee): Member = cost $455.00 first member Additional personnel = cost $440.00 for each additional member Spouse - if attending entire meeting to include all meals/breaks =$355.00 Spouse - if only planning to join us for certain meals breakdown is follows (check all that apply): Sunday night Welcome Reception/Dinner = cost $110.00 Monday Lunch = cost $40.00 Monday Reception/Dinner = cost $125.00 Tuesday Lunch = cost $40.00
Total Amount Due:
NOTE: Only complete the Room Reservation section of the form if you have NOT made your hotel reservations either on line or by calling the hotel directly .
Room Reservations(s) Needed: Single=$179.00/night Double=$179.00/night	singledouble
Smoking	Non-Smoking
Arrival Date:
Departure Date:
Credit Card Number:
Credit Card type:	Master CardAmerican ExpressVisaDiscoverOther
Expiration Date:

*Note this is not a secure site. Credit card is only to hold your room. It cannot be used to cover the registration fee. REGISTRATION FEE MUST BE PAID BY CHECK.

Please print this form and mail along with your check made payable to:
ILDA, P.O. Box 1464, Fairplay, CO 80440
Any questions, feel free to contact Kathi at 1-888-878-4532.
(print form prior to hitting the submit button).