Scioto Valley Chapter NCS Spring Meeting April 17 - 19, 2015 Embassy Suites Columbus - Dublin 5100 Upper Metro Place, Dublin, Ohio 614.790.9000 800.EMBASSY Registration Form Name(s):______________________________________________Guest:__________________________________________ Email: ______________________________________________________________________________________________ Address (street, city, state):______________________________________________________________Zip: _____________ Phone: _________________________ Cell: _________________________Chapter: ________________________________ ========================================================================================= First-time attendee: _______ Student Pilot Member: ________ AE Scholarship recipient: ______ Year: ________ Current Office(s) / Committee(s): Past Office(s) / Committee(s): Chapter: ____________________________________ Chapter: _______________________________________ Section: ____________________________________ Section: _______________________________________ International: ________________________________ International: ___________________________________ ========================================================================================= REGISTRATION: Price Quantity Total * Full registration (postmarked by March 25) * Late registration (postmarked after March 25) Fly Market Table (for chapter) Fly Market Table (other guests) $109 $120 $10 $30 _______ _______ _______ _______ A la Carte options: (only if you don’t want full registration) Friday night, hospitality, fly market $19 Saturday Columbus Zoo trip and lunch $45 Hotel Reception and Saturday Banquet $45 ________ ________ ________ _______ _______ _______ _______ ________ ________ ________ TOTAL: ________ Banquet requests (include # in your party): ________ - vegetarian ____________________________ - special dietary needs ========================================================================================= PAYMENT: Checks payable to – Scioto Valley 99s Mail to – Janie McIntire, 71 Greenhedge Circle, Delaware, OH 43015 ========================================================================================= HOTEL: Embassy Suites Columbus - Dublin. Self-parking. Call hotel to reserve room by March 27. Mention 99s to receive special rate ($149 per night). ========================================================================================= FLY IN: Commercial: Port Columbus (CMH) ETA __________ Flight # __________ Airline _____________________ Private: The Ohio State Univ (KOSU) Day ___________ ETA __________ N# __________ # passengers _____ QUESTIONS: Janie McIntire – [email protected] – 740.362.7228 OR Paula Rumbaugh – [email protected] – 614.946.2027