ABA Events

Registration - 2012 ABA Kiptopeke Rally

The Kiptopeke Rally is open to the first 60 participants who register. Filling out the information below and clicking the "submit form" button will hold your place in line. We will process registrations in the order they are received, whether online or by phone, and will contact you within three business days to confirm your registration status and to verify payment processing. Cancellation policy: Full refund, less $200.00 per person administration fee, until Wednesday, July 31, 2012. No refunds after August 1, 2012.
PART 1: REGISTRANT/S INFORMATION
Registrant #1
Member #
Street address
City
State/Province
Zip/Post code
  Add country if not USA
Contact Phone
E-mail address
Reg #1 Tag Name
City/State/Province
(If different than above)
Registrant #2
Member #
Street address
City
State/Province
Zip/Post code
  Add country if not USA
Home Phone
E-mail address
Reg #2 Tag Name
City/State/Province
(If different than above)

I would like, if possible, to be assigned on field trips with:
        Name:
PART 2: PACKAGE OPTIONS
Registrant #1 Registrant #2
Full Event Package
Includes 4 nights lodging, transportation during the rally, meals, field trips, and evening events. Does not include transportation from your home to Kiptopeke.		 $1195   $1195  
Please enter the total event fee in the box below. Please note: If you add up your total incorrectly, we will make the necessary adjustments.
Total Conference Fee Due:
PART 3: ACCOMMODATIONS
All room assignments will be made on a first-come, first-served basis. Full package includes 4 nights (Wed, Thu, Fri, Sat).
 
Please indicate one of the following:

I would like ABA to assign a roommate for me, if possible.
         I am a:   male       female
I will be sharing the room with the following person who will register separately:
        Name:
PART 4: PAYMENT METHOD
Charge to     MasterCard       VISA       Discover
Card number
Expiration date
Name on card
Note/Comments

 

 

To register by phone, call 1-800-850-2473. Sorry, we can not accept mail-in registration.
If you have any questions please contact us: email
phone (800) 850-2473 ext 234 or (719) 884-8234
ABA Events, 1618 W Colorado Ave, Colorado Springs, CO 80904.