Full Mailing Address ("Full" means you must include City, State, ZIP) *
Your answer
Emergency Contact Info - name AND phone number of friend or family back home. *
Your answer
Your Main Phone Number *
Your answer
Your Secondary Phone Number
Your answer
I understand that the Registration Fee for ALP Members is $150 per person. *
I understand that the Registration Fee for non-ALP Members is $175 per person. If joining the ALP, this amount will be credited to first year's dues. *
I will be attending Friday Evening Dinner (plated meal) & Business Meeting. Sides include: Roasted
Red Potatoes, Green Beans, Salad, Rolls, Beverages. My entree choice is: *
Saturday Boxed Lunch. My choice is: *
I will be attending Saturday Dinner & Show. Hickory Smoked Beef Brisket, Vegetable Alfredo Lasagna, Cheesy Scallop Potatoes, Seasoned Green Beans, Salad, Rolls, Dessert *
How will you be paying for this conference? *
How will you be arriving? *
If arriving by Train or Plane, enter in number of your flight/train, and date/time of your arrival. If not arriving by Train or Plane, enter "N/A" *
Your answer
When do you plan to arrive in Dayton?
Clear selection
If you need to be shuttled from your arrival location to the hotel, please tell us now.
Your answer
When do you plan to depart Dayton?
Clear selection
Add any comments regarding registration here, including any dietary information.
Your answer
If you have any Dayton-related questions, concerns, or requests for advice (sites to see beforehand, restaurants to avoid, the best antique places, etc.), please list them here.
Your answer
I declare that all the information I entered here was honest and true. If any plans, contact information, or dietary restrictions change, it is my responsibility to inform Susan Miller. *