NAME:_______________________________________________________________________________ (First Name) (Middle Name) (Last Name)
ADDRESS:___________________________________________________________________________ (# and Street, or PO Box) (Apt. # if any)
___________________________________________________________________________ (City) (State) (Zip + zip 4)
HOME PHONE #:_________________________________________________
BUSINESS PHONE #:_____________________________________________
FAX #:__________________________________________________________
CELL PHONE#___________________________________________________
EMAIL ADDRESS:________________________________________________
AANA #:_____________________
CHECK ON OK BUTTON TO THE RIGHT TO SEE INFORMATION ON ALL HOTELS AND HOTEL RATES FOR ALL OF OUR MEETINGS -----
Check one or more below to indicate you choice(s):
1.) _____SONOMA, CALIFORNIA: Yes, I am applying to your January meeting in Sonoma, California! (Cost is $395.00 for year 2009, or just $365.00 if you apply and pay in full by November 1, 2008.)
2.) _____NEW ORLEANS, LOUISIANA: Yes, I am applying to your April meeting in New Orleans! (Cost is $325.00 for year 2009, or just $295.00 if you apply early and pay in full by Februray 1, 2009.)
3.) _____NEW ORLEANS, LOUISIANA WORKSHOP: Yes, include me in your Handling Difficult Airways Workshop for the New Orleans 2009 meeting. Included with this application is the the amount of $185.00 for this Workshop.
4.) _____KILLARNEY, IRELAND: Yes, I am applying to your September, 2009 meeting in Killarney, Ireland. (Cost is $695.00 for year 2009 or just $595.00 if you apply early and pay in full by June 25, 2009). Price paid to C & H is for lectures and lecturers only. Check with Margarita Ramirez at Traveling Matters regarding cost of land package and option post meeting excursion. Don't delay, apply today as spaces are limited for this meeting. |