Indicate how you want your nametag to read, if different than above:
Zip Code *
Please indicate any physical or dietary needs that require special attention:
The information provided below will be used to plan and guarantee the number of attendees for the social functions.
Once you have submitted the registration form and have to make any changes to your selections, please contact AJA as soon as possible.
Inaccurate guarantees may make it difficult or impossible to accommodate all who plan to attend.
Registration Fees - Members
$100 US Guest/Spouse Fee
TOTAL DUE: $195
* Payment Information:
Cancellations must be submitted in writing.
All cancellations will incur a $50 US processing fee ($25 US for guest/spouse fees).