AKA National Convention '99 Registration Print this page and fill out completely. Mail the completed form to Arlene Mysliwiec at the address at the bottom of this form along with your check or credit card information (Visa and MasterCard only).
Click here to return to the main Convention page.
Attending one's first national convention can be an intimidating affair. We would like to ease first time anxiety by developing a system to encourage first time attendees or those new to the hobby an easy way to approach our more experienced members. Underneath the name and address section you will find a line captioned "Ask me about." Fill in an area of expertise that you would feel comfortable chatting about, such as "Nothos," "Lampeyes", "The AKA," or whatever topic you would like. We will print this topic across the bottom of your convention nametag so that newer members or first time attendees will now have an easy introduction to start a killie conversation!
If you are unable to attend the convention, you can use this form to order a T-shirt. All orders will be held for delivery after the convention on a first come, first served basis while supplies last. Please add an additional $3.00 shipping and handling charge for each order (continental US only - please contact us for estimates on foreign orders). Convention attendee's will receive their T-shirt orders at the convention.
This year's convention will be at the Oak Lawn Hilton hotel. Be sure to ask for the special show rates of $98/night (plus tax). Click here for address, 800 phone number and web links.
Four miles from Midway Airport and 15 miles from downtown, the Oak Lawn Hilton is conveniently located in southwest suburban Chicago and is accessible to the Tri-State Tollway via 95th Street at Cicero Avenue. Hotel guests are picked up curbside at Midway Airport and delivered to the Oak Lawn Hilton by a courtesy shuttle, or guests may arrive via car or taxicab from the OHare International Airport 40 minutes away.
AKA '99 REGISTRATION |
(PLEASE PRINT)
NAME:______________________________________________________PHONE__________________
ADDRESS:___________________________________________________________________________
CITY__________________________________STATE (COUNTRY)____________ ZIP_______________
E-MAIL ADDRESS__________________________________ AKA NUMBER ______________________
LOCAL CLUB AFFILIATION _____________________________________________________________
NAME(S) OF PERSONS ACCOMPANYING: REGISTER: _________________________________________
NOT REGISTERING:_____________________________________________________________________
ASK ME ABOUT: ______________________________________________________________________
FIRST AKA CONVENTION? ___ YES ___NO NEW TO KILLIES? ___ YES ___ NO
QUANTITY |
TOTAL |
|||||||||||
| _________ | REGISTRATIONS @ $20.00 EACH (Includes speakers and functions) |
$_________ | ||||||||||
| _________ | BANQUET (Saturday) @ $30.00 EACH | $_________ | ||||||||||
| TOTAL REGISTRATION & BANQUET | $_________ | |||||||||||
| T-SHIRTS - Fill in quantity desired of each size for men's and woman's (scoop neck): | ||||||||||||
| Men's | _____ | Small | _____ | Medium | _____ | Large | _____ | XL | _____ | XXL | _____ | XXL |
| Woman's | _____ | Small | _____ | Medium | _____ | Large | _____ | XL | _____ | XXL | ||
| TOTAL QT. OF SHIRTS _________ @ $15.00 EACH | $_________ | |||||||||||
| SHIPPING & HANDLING @ $3.00 / ORDER (Non-Attendees & Continental US Only) | $_________ | |||||||||||
| TOTAL DUE (Registration & Banquet + Shirts) |
$_________ | |||||||||||
Make checks payable to "AKA Convention 99"
To pay by MasterCard (____) or VISA (____) only. Check which card applies.
Credit Card #________________________________ Exp. date ____________
Signature ______________________________________________________
MAIL TO: Arlene Mysliwiec, Convention Registration
3129 Madison
Brookfield, IL 60513