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Full Name
*
Phone Number
*
Email Address
*
Street Address
*
Address Line 2
City
*
State
*
Zip
*
Current Chapter
*
Current Office
*
Past Section and Int'l Office Held
First Time Attendee?
Student Pilot?
Arrival Date & Time
*
How will you be arriving?
*
(Driving, Commercial Flight Num, Self-Flight Tail Num, etc)
Guest Name(s)
Dietary Restrictions
Tickets
*
Registration
$109
Friday Reception (Non-Member/Guest)
$17
Saturday Banquet (Non-Member/Guest)
$40
99s Sunflower Logo Shirts
Note: Shirts run a size large.
Small
$25
Medium
$25
Large
$25
Extra Large
$25
Payment
Pay Online Now
Pay By Check
No refunds after March 22, 2024
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0
)
Subtotal:
$
Taxes & Fees:
$
Pay Now ($
)
Make checks payable to:
NE Kansas 99s
Send to:
Linda Meyer
16208 W 131st Ter
Olathe KS 66062
Please note your registration will not be finalized until payment has been received. If name on check is different than on the registration please put the name used on the registration in the note field. Thanks!
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