Registration 2023 Statehouse Registration Step 1 of 4 25% Name(Required) First Last Company / Organization(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Enter Email Confirm Email Sponsorship Level(Required)Event Sponsor ($700)Destination Statehouse Sponsor ($350)Legislative Evening Sponsor ($500)NonePlease include yourself in the list of attendees if you are sponsoring and attending.Logo Upload (optional) Drop files here or Select files Accepted file types: jpg, gif, png, jpeg, pdf, Max. file size: 3 MB. Or email your logo to office@tiak.orgDay Event Tickets Quantity Price: $50.00 Quantity Lunch is included in Destination Statehouse activities.Eventing Event Tickets Quantity Price: $75.00 Quantity Total Day Attendee 1 Name(Required) Day Attendee 1 Email(Required) Day Attendee 2 Name Day Attendee 2 Email Evening Attendee 1 Name(Required) Evening Attendee 1 Email(Required) Evening Attendee 2 Name Evening Attendee 2 Email Evening Attendee 3 Name Evening Attendee 3 Email Evening Attendee 4 Name Evening Attendee 4 Email Evening Attendee 5 Name Evening Attendee 5 Email Please list any dietary restrictions. (optional)Do you have any local beer, wine, or liquor you are willing to contribute to the evening reception? Yes No PLEASE READ the Code of Conduct below and answer the following questions(Required) I have read and understand the code of conductThe Travel Industry Association of Kansas is a not-for-profit, tax-exempt trade association formed to promote, develop, educate, and otherwise further the travel and tourism industry. The code of ethics serves as a code of conduct for association volunteers and staff. This Code of Conduct is designed to ensure the integrity of the Association is upheld at TIAK events and functions. 1. TIAK members will conduct the business affairs of the association in good faith and with honesty, integrity, due diligence, and reasonable competence. 2. TIAK members will exercise good judgment in their dealings with association staff, suppliers, and the general public and will respond to the needs of the association's members in a responsible, respectful, and professional manner. 3. TIAK members lead by example in serving the needs of the association and also in representing the interests and ideals of the travel and tourism industry at large. Photo Consent(Required) I understand that photos taken at the conference may be used on social media platforms Pay by Credit Card or Check?(Required) Credit Card Check NOTE: The deadline for refunds is 2 weeks prior to the event!Would you like to donate $5 to the scholarship fund?(Required)No ThanksSure!Credit Card(Required)Card Details Cardholder Name Please mail your check to: Travel Industry Association of Kansas825 South Kansas Ave. Suite 502 Topeka KS, 66612 Total