Registration Destination Statehouse Registration 2020 1 Contact Info2 Tickets & Sponsorship3 Pay4 Name* First Last Company / Organization*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Sponsorship Level*Please include yourself in the list of attendees if you are sponsoring and attending.NoneEvent Sponsor ($700)Destination Statehouse Sponsor ($350)Legislative Evening Sponsor ($500)Logo Upload (optional)Or email your logo to firstname.lastname@example.orgAccepted file types: jpg, gif, png, jpeg, pdf.Day Event TicketsLunch is included in Destination Statehouse activities. Price: $40.00 Quantity: Evening Event Tickets Price: $55.00 Quantity: Total $0.00 Would you like to attend the Statehouse tour?*YesNoDay Attendee 1 Name*Day Attendee 1 Email* Day Attendee 2 NameDay Attendee 2 Email Evening Attendee 1 Name*Evening Attendee 1 Email* Evening Attendee 2 NameEvening Attendee 2 Email Evening Attendee 3 NameEvening Attendee 3 Email Evening Attendee 4 NameEvening Attendee 4 Email Evening Attendee 5 NameEvening Attendee 5 Email Please list any dietary restrictions. (optional) PLEASE READ the Code of Conduct below and answer the following questions*The 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. I have read and understand the code of conductPhoto Consent* I understand that photos taken at the conference may be used on social media platforms Would you like to donate $5 to the scholarship fund?*No ThanksSure!Pay by Credit Card or Check?*NOTE: The deadline for refunds is 2 weeks prior to the event!Credit CardCheckCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Please mail your check to: Travel Industry Association of Kansas825 South Kansas Ave. Suite 502 Topeka KS, 66612 Total $0.00 NameThis field is for validation purposes and should be left unchanged.