Kansas Tourism Conference Registration Kansas Tourism Conference 2018 Kansas Tourism Conference registration Step 1 of 6 16% Attendee InformationRegistration Type - Are you an Attendee or a Sponsor?*AttendeeSponsorAttendee Level*TIAK Member - $250Non-Member - $250Student - $99Day Rate - Tuesday only - $115Day Rate - Wednesday only - $145Guest - Evening Functions only - $99Banquet only - $55Sponsorship Levels*Tourism - $5,000Destination - $3,000Banquet - $1,500Hospitality - $1,000Meal - $1,000Visitor - $500Reception - $500Break - $500Thank you for supporting the Kansas Tourism Conference. Please select your sponsorship level.Total $0.00 Name* First Last Job TitleCompany/Organization*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Work Phone*ExtensionFaxCell PhoneEmail* Secondary Email (cc Email) Emergency Contact Name*Emergency Contact Phone* Additional InformationDo you have any dietary restrictions?*NoYesPlease specifyIs this your first Kansas Tourism Conference?*NoYesWould you like to attend an orientation and reception for first-time attendees on Monday, October 22?*NoYesHow long have you been in the travel industry?*Less than a year1-5 years6-10 years11-15 years16+ yearsWould you like to donate to the TIAK scholarship fund so a student may attend next year's Kansas Tourism Conference?*NoYesThank you for selecting to donate to the scholarship fund. Please select the dollar amount you would like to donate.*$10 scholarship donation$25 scholarship donation$50 scholarship donation$75 scholarship donation$100 scholarship donationTotal $0.00 Event InformationDo you plan on attending the kickoff event on Monday evening, October 22?*YesNoDo you plan on attending the Junction City Community signature event on Tuesday evening, October 23?*YesNoDo you plan on attending the Awards Banquet on Wednesday evening, October 24?*YesNoIs your organization interested in providing a table centerpiece for giveaway at the Wednesday evening Awards Banquet?*NoYesCenterpiece Price: $50.00 If you choose to provide a table centerpiece, please keep in mind it will be your responsibility to set up your table centerpiece prior to the banquet on Wednesday evening. Each table will have 10 place settings. A reminder of your commitment will be emailed to you prior to conference.Is your organization interested in providing an item for the Silent Auction?*NoYesIf interested, please submit your auction item by completing the auction donation form on the Kansas Tourism Conference webpage.Do you plan on attending the TIAK PAC Nightcap Reception?Not AttendSponsor ReceptionAttend ReceptionTIAK PAC cordially invites all attendees to a Nightcap Fundraising Reception immediately following the Awards Banquet on Wednesday, October 24. Additional fees apply and fees for this event must be submitted separately. You may select to sponsor the reception for $100 or attend for $25. Checks are to be made out to TIAK PAC and mailed directly to Suzan Barnes, 215 Broadway, Cottonwood Falls, KS 66845.Do you plan on attending the TIAK board meeting?*NoYesTotal $0.00 SponsorshipsExhibit Booth*YesNoAs a sponsor at the selected level you receive 1 - 8' x 10' exhibit booth. Would you like an exhibit booth at the conference?Additional Exhibit Booth NeedsEach 8' x 10' exhibit booth will include 1 - 8' skirted table, 1 chair and a sign with your organization's name. If you require additional items, including electricity, please indicate those needs here. You will be contacted if additional payment is applicable.The selected sponsorship level includes two (2) conference registrations. Please indicate the 2 attendees from your organization who will be in attendance.The selected sponsorship level includes one (1) conference registration. Please indicate the attendee from your organization who will be in attendance. If you need to register additional attendees from your organization, you will have a chance to do so later in the registration. Additional fees will apply.Attendee 1 First Last As the registrant, if you are one that will be in attendance, include your name here.Attendee 2 First Last If you need to register additional attendees from your organization, you will have a chance to do so later in the registration. Additional fees will apply.Logo UploadAccepted file types: jpg, png.For your convenience, you may upload your logo here for inclusion in conference materials. All files must be in a JPG or PNG format and the file size less than 10KB. If your logo does not fit these specifications, you may email the logo directly to the KTC event registration contact.Inserts*No insert will be providedInsert for conference notebookInsert or item for conference registration packet/bagYour company may provide an insert to be included in the conference notebook. Inserts are not to exceed 8.5" x 11" in size and a quantity of 250 is needed. In addition, you may provide an insert or item to be included in the registration packet/bag. All inserts must be received no later than Friday, October 12. Please ship your inserts to: Travel Industry Association of Kansas Attn: Marlee Carpenter, KTC inserts 825 S. Kansas, Suite 502 Topeka, KS 66612 Please indicate if you will be providing any type of insert. Additional AttendeesDo you have additional attendees to register in your group?*NoYesAttendees Name Ticket   Edit Delete There are no Attendees. Add Attendee Attendees Total Price: $0.00 Total $0.00 PaymentWould you like to pay by credit card or check?*Credit CardCheckCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 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 Name* First Last Email* Organization*Ticket*TIAK Member - $250Non-Member - $250Day Rate - Tuesday only - $115Day Rate - Wednesday only - $145Guest - Evening Function - $99Banquet only - $55 This iframe contains the logic required to handle Ajax powered Gravity Forms.