Member Registration for AIDC 100

Annual Meeting and Luau with Open Bar

April 3, 2012

For those wishing to register for the AIDC 100 luau and/or the members annual meeting (both on April 3rd), please complete the following:

Members Registration

Last Name
First Name
Telephone:
Cell:
Email:


MEMBER ATTENDEE:

  
Attending Annual Meeting on April 3rd?
 (no charge)		  
Attending Luau with Open Bar on April 3rd at Cabana Bar and Beach Club? 
(cost: $65)		  


MEMBER'S SPOUSE/ SIGNIFICANT OTHER:

Spouse/Significant Other Attending Luau with Open Bar on April 3rd at Cabana Bar and Beach Club?
(cost: $65)

  
If yes, please provide name:


MEMBER'S GUEST:

  

Guest Attending Luau with Open Bar on April 3rd at Cabana Bar and Beach Club?  (cost: $65)

  
If yes, please provide name:

Please click submit and then you will have the option of paying with credit card (PayPal) or paying by check.