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2011 Annual Meeting

Saturday, October 22 through Tuesday, October 25, 2011
Galt House
Louisville, Kentucky
REGISTRATION FORM

(NOTE: ILDA now accepts credit cards to cover meeting registration fee)

Company Name
Name
Title
Business Address
Business Address Line 2
City
State
Zip Code
Phone
Fax
Email


Additional Company personnel or spouse attending:
Name
Name
Name

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

Number Attending


Check number(s) attending: (NOTE: Cost of all meals are included in Registration fee):
Member = cost $450.00 first member
Non-Member = cost $465.00
Additional personnel = cost $435.00 for each additional member
Spouse if attending entire meeting to include all meals/breaks =$335.00

Spouse if only attending select meals - check meals that spouse will participate in (check all that apply):
Sunday night Welcome Reception/Dinner = cost $110.00
Monday Lunch = cost $45.00
Monday Reception = cost $125.00
Tuesday Lunch = cost $35.00

Total Amount Due:
NOTE: Only complete the Room Reservation section of the form if you have NOT made your hotel reservationsr by calling the hotel directly .

Room Reservations(s) Needed:
Single=$129.00/night
Double=$129.00/night

Smoking Non-Smoking
Arrival Date:
Departure Date:

*Note if paying by credit card, download Credit Card Processing Form which is available once you submit your registration form.

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).

 

 

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