CONFERENCE REGISTRATION FORM

District 14 Quota International

62nd Annual Conference

September 13-15, 2002

Westmark Anchorage Hotel

Anchorage, Alaska

 

    1. Name:_________________________________________

    2. Guest(s):____________________________________

    3. ______________________________________________________

    4. Address: _______________________________________

    5. City/State/Zip_______________________________________

    6. Phone: ( )________ - __________________

      7.

    7. Fax: ( )________ - __________________

      8.

    8. e-mail: ________________________________________

      9.

    • Club:__________________________________________

    • Club Officer, Specify _____________________________

    • District Officer, Specify ___________________________

    • Past/Current International Officer, Specify

    • _______________________________________________

    •  

    Please make checks payable to

    Quota International of Anchorage

    Mail Registration to:

    Marjory Bailey

    2619 Cottonwood Street

    Anchorage AK 99508

    Or

    e-mail to:

    togoak@aol.com

    REGISTRATION DEADLINE:

    September 1, 2002

    $20.00 late fee assessed after 9/1/2002

    Food and Beverage Fee: Total Food and Beverage Package $90.00

    Individual Meal Functions:

    Friday Dinner Buffet _____ $19.50

    Salads, Soup, Oriental Stir Fry, Vegetarian Lasagna

    Vegetable, Fresh Cut Fruit, Assorted Mousses

    Saturday Continental Breakfast _____ $ 9.50

    Danish Pastries, Muffins, Assorted Yogurts

    Juices, Coffee, Tea

    Saturday Break Coffee, Tea, Cookies _____ $ 6.00

    Saturday Banquet _____ $41.00

    Citrus Salad, Top Sirloin, Halibut,

    Scalloped Potato, Vegetable, Lingonberry Mousse in Chocolate Shell, Coffee, Tea

    Sunday Breakfast _____ $14.00

    Scrambled Eggs, Farmer Style Potatoes, Reindeer Sausage,

    Juices, Pastries, Coffee, Tea

    Total Food & Beverage Remittance __________

    Dietary Request/Special needs__________________________________________________

    HOTEL ACCOMMODATIONS- INFORMATION ONLY

    WESTMARK ANCHORAGE HOTEL

    720 West 5th Avenue

    Anchorage AK 99501

    $68.00 per night single / double occupancy plus 8% city bed tax

    Additional Person Charge-$15.00

    Receive 500 Alaska Airline miles for your stay at the Westmark.

     

    This special room rate is offered from 3 days prior to Conference to 3 days after, based on availability.

    The hotel requests that room charges be paid by only one party per room. If you must split the charge, let the front desk know upon arrival.

     

    Please make your Hotel Reservation by

    August 15, 2002

    Fax the attached form or call
    CENTRAL RESERVATIONS 1-800-544-0970

    Mention "QUOTA" to get the discounted rate
    DIRECTIONS

    From the Anchorage airport, take Alaska Cab to the hotel for a special rate of $4/person one-way.

    Pay at the front desk or charge to your room.

    If driving, free parking is available in the hotel lot; parking passes available from front desk.

    AVIS, through Quotarian Rita Valentine, is offering the following rental rates*:

    Compact $39 Midsize $41 Full-size $43 Minivan $64 4x4 $64

    Anchorage has an 11.1% airport fee & a 10% Anchorage Car Rental Tax.

    Avis has two locations, at the Airport & downtown (by the Westmark) at 5th & B street.
    The downtown location would not have the 11.1% airport fee.

    Reservations need to be made through Rita via phone (907-474-0900), fax (907-474-2013) or email. Mention Anchorage Quota Conference; give renter name, date & time of arrival & departure, and the size of car. Reference Quota Rate Code: C3

    *Rates do not include loss damage waiver, additional liability insurance, tax, gas or airport fees.
    Celebrate * Bear Hug * Brag * QI Anchorage

    Updated April 17,2002
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