First Name:______
Last Name:______
Name on Badge:______
Address:______
______
City:______
State (US):______
State/County/Province (Non-US):
______
Country:______
ZIP (Postal Code):______
Email:______
Email 2:______
Phone:______
Phone 2:______
Section:______
Chapter:______
Special Needs:______
______
______
July 3-8, 2018 | Philadelphia, PA
99s International Conference Registration
What is your age?(optional) 18-30 30-45 45-60 60-75 75+
About you(Please check all that apply)
I fly or desire to fly professionally I fly for fun
I work in an aviation related job I work in a non-aviation related job
Affiliations(Please check all that apply)
2018 AE Scholarship Winner Chapter Chairman Current Section Governor
First International Meeting International Board International Committee
Life Member Member of Friends of the 99s Past AE Scholarship Winner
Past International President Past Section Governor Section Officer
Student Pilot Trust Board
What is your primary reason for attending the annual conference?(Please select only one)
To attend tours / see the city Education Networking with other 99s
To attend the business meeting Other: ______
What would you like to see as part of future conferences that you have not seen in the past?
______
Career ExpoAwards Banquet and Other Meal (if applicable)
I will be attending the Career Expo.If you have any Special Dietary Requests, please select from the choices below.
Yes Vegetarian
No Gluten Free
Other ______
If you are paying for guests, and they have Special Dietary Requests, please describe: ______
Mentor/Mentees Program
We are excited to launch a mentor/mentees program at the 2018 Conference. The purpose of this program is to connect newer members or members looking for some coaching with more established members. This is a semi-informal program. Our request is that if you agree to participate you will commit to attending the First-Timer and Mentor/Mentee Meet and Greet on Thursday and meet at least one other time with your mentor/mentee. Ideally, mentors will invite mentees to meals, educational seminars or other opportunities to engage and meet others. After the Conference, it would be wonderful to have these relationships continue through e-mail or phone calls. There is no cost to be involved in this program.
Would you like to be a mentor or mentee? If you select to be a mentor or mentee, you will be paired with someone and will be contacted prior to the conference.
Mentor Mentee I will be attending the Thursday First-Timers / Mentor Reception No, Thank You
REGISTRATION
99s Member Full Conference Registration: $299 (by March 31st) $355 (by May 31st) $380 (after May 31st)
99s Member Friday One-Day Registration (includes Career Expo): $99
99s Member Saturday One-Day Registration: $180
Friends of 99s Member Full Conference Registration: $299 (by March 31st) $355 (by May 31st) $380 (after May 31st)
Friends of 99s Member Friday One-Day Registration (includes Career Expo): $99
Friends of 99s Member Saturday One-Day Registration: $180
Non-Member Friday Only (99s Career Expo): $200
Guest Registration: (Please denote the number of guests you will be bringing.)
99s Member Guest Only Full Registration: ___ $299 (by March 31st) ___ $355 (by May 31st) ___ $380 (after May 31st)
99s Member Guest Only A La Carte: ___ $50
99s Member Guest Only – Child 12 and Under: ___ $0
Friends of 99s Member Guest Only Full Registration: ___ $299
Friends of 99s Member Guest Only A La Carte: ___ $50
Friends of 99s Member Guest Only – Child 12 and Under: ___ $0
If you registered guests above, please let us know their name(s):
Registration Add-Ons:Please let us know how many will be attending that are not full registrants (these are included in the full registration):
___ Takeoff Reception (Thursday - Included in Full Conference Registration) - $85
___ Professional Branding Breakfast (Friday Morning) - $20
___ Governor’s Reception: Open to present and past Presidents and Governors of the 99s (Friday Evening) - $40
___ Saturday Buffet Breakfast (Included in Full Conference and Saturday Only Registration) - $50
___ Saturday Awards Banquet (Included in Full Conference and Saturday Only Registration) - $110
Women’s Polo Shirt - $35 Size: S M L XL 2XL 3XL
Would you be interested in sponsoring a female pilot to attend the conference?
YES! Please add the following amount to my registration - $99
YES! Please add the following amount to my registration - $199
YES! Please add the following amount to my registration - $299
YES! Please add the following amount to my registration - $______
How will you be arriving?(Please select from the following options; we will assume that you and your registered guest(s) will be the same as below. If they are different, please notify us below this section.)
I am not arriving by private aircraft.
I am arriving by private aircraft. Aircraft ID #: ______
Inbound Flight
Date: ______Time: AM_____PM_____ New Castle Airport (KILG)
Northeast Philadelphia Airport (KPNE)
Outbound Flight
Date: ______Time: AM_____PM_____ New Castle Airport (KILG)
Northeast Philadelphia Airport (KPNE)
OPTIONAL ACTIVITIES
Please note the number of people you would like to purchase tours for:
Washington DC Tour | 7:30AM - 10:30 PM - $250Number of Person(s): ____
Tuesday, July 3, 2018
Diggerland Construction Park | 9:00 AM - 3:00 PM - $65 Number of Person(s): ____
Wednesday, July 4, 2018
Spirit of Philadelphia Dinner Cruise | 5:45 PM - 10:30 PM - $150 Number of Person(s): ____
Wednesday, July 4, 2018
Patriotic Philadelphia Walking Tour | 9:00 AM - 1:00 PM - $75 Number of Person(s): ____
Thursday, July 5, 2018
Philadelphia International Airport Tour | $40
Thursday, July 5, 2018 9:00AM-2:00PMNumber of Person(s): ____
Saturday, July 7, 2018 12:00PM-5:00pmNumber of Person(s): ____
Hudson River Tour | 8:00 AM - 2:00 PM – FreeNumber of Person(s): ____
Wednesday, July 4, 2018 2:00 PM seminar
Thursday, July 5, 2018 8:00 AM – 2:00 PM Fly the Hudson River
Van Sant Airport | 9:00 AM - 2:00 PM - $70Number of Person(s): ____
Thursday, July 5, 2018
Philadelphia Museum of Art | 12:00 PM - 3:30 PM -$75Number of Person(s): ____
Thursday, July 5, 2018
Longwood Gardens, Brandywine Museum & Wyeth Museum | 8:30 AM - 5:30 PM - $160
Friday, July 6, 2018 Number of Person(s): ____
Eagles Mere Air Museum | 7:00 AM - 3:30 PM - $25Number of Person(s): ____
Friday, July 6, 2018
A New York City Experience | 7:30 AM - 10:00 PM - $399 Number of Person(s): ____
Sunday, July 8, 2018
Please Note: As Broadway tickets have been purchased, this tour is non-refundable.
PAYMENT
TOTAL FEE TO BE CHARGED:______(Please make sure all guests, add-ons, tours, etc. are included.)
Method of Payment: Discover Mastercard Visa Check #: ______
Make checks payable to: Designing Events, LLC. If paying by check, completed registration form must be mailed with check to the following address:
Designing Events, LLC
c/o The 99s 2018 Conference
15 E. Main Street, Suite 223
Westminster, MD. 21157
CC#:______Address: ______
Cardholder Name:______
Expiration:______City:______State:______
Signature:______Zip/Postal Code:______Country:______
I have read and understand the terms & conditions listed below:
- If cancellation is received in writing postmarked on or before June 1, 2018, your registration fee less $75 will be refunded ($15 for guests).
- No refunds will be given after June 1, 2018. Substitutions will be accepted any time.
- Tours, other than the New York City Experience, may be cancelled with a full refund up to April 3, 2018. Tour cancellations April 4—May 3, 2018 receive a 50% refund. Cancellations after May 3, 2018 are nonrefundable. All tour cancellations are charged a $25.00 fee for administrative processing. The New York City Experience is nonrefundable.
Signature (required): ______
July 3-8, 2018 | Philadelphia, PA