FCCLA State Leadership Conference
April 8-11, 2018
All Reservations must be received by Friday, March 9, 2018
Complete the following and mail or fax to the Kalahari Resort.
Mail to: Kalahari Resort and Convention Center, PO Box 590, Wisconsin Dells, WI 53965
Fax to: Kalahari Resort and Convention Center, (608)-254-6116
Chapter Name______
Address ______
City, State, Zip ______
Arrival Date ______Departure Date______
Adviser Email: ______
Types of rooms available:
HUT-($169 per night); Limit 4 guests
DESERT-($169 per night for up to 4 guests);5th or 6th person can be added for $25 per person per night
Lodge Suite@ $229 per night; Limit 4 guests
Combination Suite@ $399 per night; Limit 8 guests
Village Suite @ $569 per night; Limit 12 guests
To guarantee your reservation, please provide a PO number orthe last four digits of the credit card in the space below.
Payment Information: Check One.
Check in Advance ____ Purchase Order ______Credit Card _____
Purchase Order Number ______
Check Credit Card Type: ___ Mastercard ___ Visa ____ American Express ____ Discover
Last four digits of Credit Card Number ______Exp. Date ______Name on Card ______
Credit card numbers written in are no longer accepted due to security reasons. The Kalahari will make contact to complete the credit card transaction. Contact for confirmation: ______Phone ______Email: ______
Tax Exempt: Yes ____ No _____ If yes is marked, tax exempt paperwork (S-211) must accompany this form.
Rooming List
Chapter Name______Chapter Adviser Contact______
Room 1:
Circle RoomType:
Types of rooms available:
HUT-($169 per person per night); Limit 4 guests
DESERT-($169 per night for up to 4 guests);5th or 6th person can be added for $25 per person per night
Lodge Suite@ $229 per night; Limit 4 guests
Combination Suite@ $399 per night; Limit 8 guests
Village Suite @ $569 per night; Limit 12 guests
______Number in room
Adult Room or Student Room (circle one) List Names:
Chapter Name______Chapter Adviser Contact______
Room 2:
Circle Room Type:
Types of rooms available:
HUT-($169 per person per night); Limit 4 guests
DESERT-($169 per night for up to 4 guests);5th or 6th person can be added for $25 per person per night
Lodge Suite@ $229 per night; Limit 4 guests
Combination Suite@ $399 per night; Limit 8 guests
Village Suite @ $569 per night; Limit 12 guests
______Number in room
Adult Room or Student Room (circle one) List Names:
Chapter Name______Chapter Adviser Contact______
Room 3:
Circle Room Type:
Types of rooms available:
HUT-($169 per person per night); Limit 4 guests
DESERT-($169 per night for up to 4 guests);5th or 6th person can be added for $25 per person per night
Lodge Suite@ $229 per night; Limit 4 guests
Combination Suite@ $399 per night; Limit 8 guests
Village Suite @ $569 per night; Limit 12 guests
Adult Room or Student Room (circle one) List Names:
Add Additional Sheets if Necessary.