NGAUS Conference
139th General Conference and Exhibition
Louisville, KY
7-10 September 2017

Please furnish the following information:

REGISTRATION CATEGORIES (Please check applicable category):

 

 

 

 

 

Conference Registration $180

 

Shirt Size

 

 

 

Delegate

Retiree

 

 

Rank (if applicable) , Last Name, First Name, MI

(First Name/Nickname for Badge)

 

(check if applicable)

 

 

 

E-mail

 

Phone

 

 

Company Grade/Warrant Officer Mixer 7 Sep Governor’s Reception 8 Sep States Dinner 10 Sep OPD

 

 

 

 

(Please check events included in the registration fee that you will be attending)

 

 

Spouse/Guest Conference Registration $180

Shirt Size

 

 

 

 

Rank (if applicable), Last Name, First Name, MI

 

 

 

(First Name/Nickname for Badge)

 

 

Spouse/Guest E-mail

 

 

 

Company Grade/Warrant Officer Mixer 7 Sep Governor’s Reception 8 Sep Spouse Lunch 9 Sep States Dinner 10 Sep

Warrant Officer Luncheon and Caucus

 

 

 

(Please check events included in the registration fee that you will be attending)

 

 

Additional Ticketed Events (please check applicable categories):

 

 

 

 

 

Full Conference Registrant:

 

 

 

Spouse/Guest Full Conference Registrant:

NGAUS Golf Tournament

$120.00 - 7 Sep

 

 

NGAUS Golf Tournament

$120.00

Fun Run

$20.00 - 8 Sep

 

 

Fun Run

 

$20.00

Retirees’ Luncheon

$5.00 - 9 Sep

 

 

Retirees’ Luncheon

 

$ 5.00



Check Here if you are paying a deposit for a hotel room $100

ACCOMMODATIONS: Arrival DateDeparture Date

Hotel Name: Galt House Hotel, 140 N. Fourth St, Louisville KY 40202

Room rate per night: Single/Double $152.06 tax included Deposit required to secure room: $100

Special Requirements:

(IF YOU DESIRE TRANSPORTATION TO/FROM AIRPORT, PLEASE PROVIDE AIRLINE INFORMATION BELOW)

Airline

(Mil/Civ)

Flt#

Arrival Date

Time

Airline

(Mil/Civ)

Flt#

Departure Date

Time

Other (please provide details):

BUS TRANSPORTATION FROM/TO AIRPORT (Free) Louisville, Int'l Military Air

Total amount due for registration fees, additional ticketed events, and hotel deposit:

REGISTRATION MUST BE RECEIVED BY NOON JULY 15, 2017