“The Future of the Air Force in the Southwest Region

Air, Space, Cyberspace”

24 - 26 June 2011 Conference Registration 24 - 26 June 2011

Title (Mr., Ms., Rank, etc) First Name Last Name

Address City State Zip Code

Daytime Phone Fax Number Email Address

FULL CONFERENCE REGI
REGISTRATION
STRATION (PER PERSON)
Early Bird (Through March 1) Regular/on-site (after March 1)
AFA Member $165.00 $175.00 $___________
Active Duty $140.00 $150.00 $___________
Non-Member/Civilian $175.00 $200.00 $___________
Includes Welcome Reception Gala (Fri), breakfast (Sat & Sun), lunch (Sat), dinner/dance (Sat) and all conference meetings
DAILY REGISTRATION (FOR THOSE NOT ATTEN DING THE FULL CONFERENCE)
ATTENDING
Golf Tournament 6/24 $65.00 $___________
Welcome Reception Gala 6/24 $40.00 $___________
Saturday Dinner/Dance 6/25 $65.00 $___________
Conference Meetings* 6/25 $90.00 $___________
*Includes Continental Breakfast & Lunch Subtotal $___________
PAYMENT
Check # ___________ Enclosed Invoice Me

MasterCard Visa Billing Address

Name on Card (Please Print) City State Zip Code

Credit Card Number Expiration date Security Code (3 digits located on back)

Cardholder Signature Date of Signature

RESORT RESERVATIONS
Contact the Wigwam Golf Resort at 1-800-327-0396 or
Reserve online at https://gc.synxis.com/rez.aspx?Hotel=24982&Chain=5156&group=TAF24A
CONFERENCE INFORMATI
INFORMATION
ON
For Conference details and to register online visit http://www.afaluke.com/afaswregionconference or
mail to Frank Luke Chapter, 1300 S. Litchfield Rd, Bldg 2, Ste A1020, Box 1, Goodyear, AZ 85338
or Call - Paige 623-853-0829 or Doris 623-512-9725 or Fax to 623-882-9252