United Four Wheel Drive Associations

AGM 2009 Registration

Location: Dallas, TX When: May 18-20, 2009
 Registrant Information
Name (Required)
FirstLast
Address 1 (Required)
Address 2
City (Required)
State/Province (Required)
Zip / Postal Code (Required)
Country
Phone (Home) (Required)
Phone (Cell)
Email (Required)
 Emergency Contact Information
Emergency Contact (Required)
Emergency Phone (Required)
 Representing
I am representing (Required)
(choose all that apply)
 UFWDA Member Organization
 UFWDA Supporting Business (Enter Business Name below)
 UFWDA as a BOD or Extended BOD Member
 Myself as a UFWDA Member - Individual
 Any other affiliation or other organization (Enter affiliation/organization name below)
Business/Affiliation/Organization Name
 Registration Fee (At lease one is required)
 Delegate Registration fee includes two lunches, dinner on Wednesday and materials, unless otherwise noted.
Enter number of people attending:   Delegate Registration @ $125.00
 Non-Delegate, with meals @ $125.00
 Non-Delegate, no meals@ $40.00
 Additional Banquet Meal(s) @ $40.00
 Accomodations
Staying at Best Western Yes    No
Dates you will be staying
Will you have an RV? Yes    No
Will you need a transportation shuttle? Yes    No
Will you be attending Wheel-In?
Note: Requires a separate registration.
Yes    No
 Terms and Conditions
  • Payment: Payment in full is due when the registration is submitted either on-line or via mail. Acceptable payment methods include check, credit card or money order. Payment via mail may be sent to: 14525 SW Millikan Way #22622 Beavorton, Oregon 97005-2343
  • Cancellation/Refund: There will be no refunds on cancellations.
  • Hotel Accommodations: United Four Wheel Drive Associations has a block of 35 rooms at the Best Western Conference Center. Actual reservations are the responsibility of the person(s) attending the conference and payment for the accommodations shall be made by the person(s) making the reservations(s). Please check with the hotel for all reservation options and guidelines. Accommodations made with any other hotel by person(s) attending the conference will not be endorsed by United Four Wheel Drive Associations and no arrangements have been made with any other local establishments.
  • United Four Wheel Drive Associations shall not be held liable for any loss, damage, injury, or any other act as a result of attending the United Four Wheel Drive Associations Annual General Convention.
 I agree with the terms and conditions. (Required)
 Payment Method
After you have completed the required items, choose method of payment to continue...


Major Credit Cards Accepted