Soar With The Dunes Registration

Soar With The Indiana Dunes Registration

ONLINE REGISTRATION IS CLOSED. MAIL IN OR CALL ROSE SIRKO TO REGISTER. Rose Sirko, 2231 Swanson Rd, Portage, IN 46368. Phone: +1 (219) 771-0490
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Guest or 49 1/2

First NameLast Name
Guest or 49 1/2

First NameLast Name
Chapter:
AE Scholarship AwardeeNew 99 (less than 1 year)First Wings AwardeeStudent PilotFirst Section MeetingGovernorPast GovernorNCS Officer*NCS Committee Chair*Chapter Officer*International Representative*PresidentPast PresidentInternational Committee Chair*
*Specify:
ARRIVALS

If you need transportation from an airport or are willing to help drive, fill out applicable fields below.Transportation Coordinator: Marcia Forcey - 219-728-7835
What day do you plan on arriving?

MonthDayYear
Date
ETA:
Do you need transportation from a GA airport/Train Station?
GA Arrival Airport/Train Station
Number of persons on board:
Will you have a car and be able to drive/share rides?
REGISTRATION
EARLY REGISTRATION DEADLINE SEPTEMBER 8, 2022.

Full registration includes Friday Meet & Greet, Saturday Breakfast, Lunch, and Banquet, and the Hospitality Room.
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Late Registration (after September 8)
Registration includes Friday Meet & Greet, Saturday Breakfast, Lunch, and Banquet, and the Hospitality Room.

$119.00 Quantity



Friday Evening Meet & Greet
$20.00 Quantity



Saturday Breakfast
$20.00 Quantity



Saturday Banquet
$40.00 Quantity



Hospitality Room
$20.00 Quantity



Sales Table
$10.00 Quantity



Total

$0.00
Banquet Meal Preference*
Gluten FreeVegan/VegetarianAllergies (*specify below)
*Specify allergies:
Guest or 49 1/2 Banquet Meal Preference
Gluten FreeVegan/VegetarianAllergies (*specify below)
*Specify allergies:
Guest or 49 1/2 Banquet Meal Preference
Gluten FreeVegan/VegetarianAllergies (*specify below)
*Specify allergies:
PAYMENT DETAILS
Are you paying by Check or Zelle?
NOTE!!! If you plan to pay by Zelle, please check out the link below for instructions and to make sure Zelle is supported by your bank!

PAYING BY CHECK: Write check to “Indiana Dunes 99s”, write “ONLINE NCS REGISTRATION” in the memo. Mail to: Rose Sirko, 2231 Swanson Rd, Portage, IN 46368

PAYING BY ZELLE: Send payment to indianadunes99s@gmail.com on Zelle. Be sure to write in the notes “ONLINE NCS REGISTRATION”. Instructions on how to do this are posted here.
QUESTIONS?
Margaret Wint - 616-540-4113
Diana Austin - 219-241-7865
Marcia Forcey, transportation - 219-728-7835
Online form/payment questions: Jessica Richardson- 574-551-7035
Should be Empty:

Soar With The Indiana Dunes Registration

ARRIVALS

REGISTRATION

PAYMENT DETAILS

QUESTIONS?