SEKMA Bus Trip Registration Form

SEKMA Bus Trip Registration Form

Please use one Registration Form per person for meal selection and payment. Use this form for ONLINE ONLY registration and payment. Registrations are reserved on a "1st come, 1st served" basis for up to 56 people. Registration & meal forms, along with payment, must be received by Oct 1st.
The SEK Museum Alliance is taking a chartered bus to the Kansas History Museum in Topeka, KS, on Wednesday, October 14th!

This trip will allow SEK Museum Alliance members & guests an opportunity to visit the museum and get a behind-the-scenes tour, hear about their research and archives areas, and how they developed their exhibits.

Your $50 fee includes:
Expense for chartered bus
Bottled water - on the bus and with your lunch
Choice of lunch - selections below
Admission and use of small room for our group
Driver tip

Your extras:
You can bring your own drinks and snacks on the bus for the trip.
If you have name tags with your name and museum – please wear them!

Here are the details for the day:

DEPART at 7:00 AM from the Independence Historical Museum & Art Center

Stop at BETO Junction at 8:45 AM – pick up additional passengers, get refreshments, restrooms, etc.

DEPART at 9:15 AM from BETO Junction

Arrive in Topeka at 10:15 AM

Box lunch included - see more information below.

Leave Topeka at 4:00 PM

Arrive at BETO Junction at 5:00 PM

Leave BETO Junction at 5:30 PM

Arrive in Independence at approximately 7:15 PM

We look forward to seeing everyone and having a wonderful day!
**Continue completing this form ONLY for online registration and online payment**
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What museum are you affiliated with?
Is your museum a paid member of the SEK Museum Alliance?
Select your pickup location (please arrive early - these are bus DEPARTURE TIMES)
Review the menu shown below & then select ONE of the three meal options. You can only choose a sandwich, bread and side OR a salad with dressing. Details will be selected in the next section. IF YOU DO NOT WANT A MEAL PLEASE MARK IT HERE.
Make your SANDWICH selections below ONLY for Option 1:

If you are selecting the sandwich option, you CANNOT select a salad
Sandwich Choice:
Bread Choice:
Side Choice:
Make your SALAD selections below - ONLY for Option 2:

If you are selecting the salad option, you CANNOT select a sandwich
Salad Choice:
Dressing Choice:
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Registration Fee
Price includes transportation, admission & lunch

$50.00 Quantity

Optional
Help with costs by adding a 3% card fee to your order

$1.50 Quantity

Total

$0.00
Once you submit this form, you should get a confirmation email.

If you do NOT get a confirmation of the form being sent, please try again.

Your reservation is NOT COMPLETE until you get a confirmation.
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

SEKMA Bus Trip Registration Form

Make your SANDWICH selections below ONLY for Option 1:

Make your SALAD selections below - ONLY for Option 2:

*

Payment Methods