KTC 2022 Form Test Kansas Tourism Conference 2022 Kansas Tourism Conference registration "*" indicates required fields Step 1 of 7 14% Attendee InformationRegistration Type - Are you an Attendee or a Sponsor?*AttendeeSponsor/ExhibitorAttendee Level*TIAK Member - $250Non-Member - $250Student - $99Day Rate - Tuesday only - $115Day Rate - Wednesday only - $145Guest - Evening Functions only - $99Banquet Only - $55Sponsorship Levels*Diamond - $3,500Sapphire - $2,500Emerald - $1,000Ruby - $500Meal - $750Break - $500Tourism Supporter - $250Thank you for supporting the Kansas Tourism Conference. Please select your sponsorship level.Total Name* First Last Job Title 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 Work Phone*Cell 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?*NoYesHiddenWould you like to attend an orientation and reception for first-time attendees on Monday, October 18?*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 Event InformationDo you plan on attending the kickoff event on Monday evening?*YesNoDo you plan on attending the Community signature event on Tuesday evening?*YesNoDo you plan on attending the Awards Banquet on Wednesday evening?*YesNoIs your organization interested in providing a table centerpiece for giveaway at the Wednesday evening Awards Banquet?*NoYesCenterpiece Price: 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 8-10 place settings. A reminder of your commitment will be emailed to you prior to the 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.HiddenDo you plan on attending the TIAK board meeting?*NoYesTotal SponsorshipsExhibit BoothSelect OptionYes, I will need an exhibit boothNo, I do not want an exhibit boothAs a sponsor at the selected level you receive 1 - 8' x 10' exhibit booth. Would you like an exhibit booth at the conference?ElectricityYes, I will need electricityNo, I do not want electricityDo you require electricity for your booth? You will be contacted if additional payment is applicable.Additional Exhibit Booth Needs*Each 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, 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, Max. file size: 300 MB.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 7. 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. PLEASE READ the Code of Conduct and answer the following questions* 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* I understand that photos taken at the conference may be used on social media platforms Additional AttendeesDo you have additional attendees to register in your group?* No Yes Attendees Name Ticket Actions Edit Delete There are no Attendees. Add Attendee Maximum number of attendees reached. Attendees Total Price: $0.00 Total PaymentPayment Method* Check Credit Card Credit CardCard Details Cardholder Name Please mail your check to: Travel Industry Association of Kansas825 South Kansas Ave. Suite 502 Topeka KS, 66612 Total CommentsThis field is for validation purposes and should be left unchanged.