2024 Annual Conference Registration Terre Haute Convention Center October 15-October 17 "*" indicates required fields Early registration closes October 3. If you have not registered by October 4 a late fee of $25 per registrant will be assessed. Aviation Indiana 135 N. Pennsylvania Street, Suite 1175 Indianapolis, IN 46204 Questions or problems with registration? Call Bart at (317)916-4184 or email at bartgiesler@gmail.com(*) Denotes required fieldHiddenAre you a student?* Yes No Main Registrant InformationPayment Method* Online with credit card Invoice Main Registrant* First Last Airport/Company* Email* Phone*Format should be (xxx)xxx-xxxxRegistration Selection Main Registrant* MEMBER – Single – Main Reg ($410.00) NON-MEMBER- Single – Main Reg ($610.00) MEMBER – Couple – Main Reg ($560.00) NON-MEMBER – Couple – Main Reg ($810) MEMBER – Wednesday Only- Main Reg ($250.00) NON-MEMBER – Wednesday Only – Main Reg ($350.00) MEMBER – Thursday Only – Main Reg ($230.00) NON-MEMBER – Thursday Only – Main Reg ($300.00) FBO BREAKOUT TRAINING – THURSDAY ($50.00) Spouse/Guest Name* First Last Activities & Meals Selections for Main Registrant*Please select which activities and meals you will be attending. *Golf will be held at Idle Creek Country Club 5353 Eldridge Road. Terre Haute, IN 47802 BBQ (Tues pm) BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) BREAKFAST (Thurs am) LUNCHEON (Thurs) TUESDAY – GOLF ($150 billed later) TUESDAY – TRAP SHOOTING ($150 billed later) TUESDAY – New to AI welcome – FREE WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION THURSDAY – FBO Breakout Training Activities Main Registrant Wednesday Only*Please select which activities and meals you will be attending. BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Activities Main Registrant Thursday Only*Please select which activities and meals you will be attending. BREAKFAST (Thurs am) LUNCHEON (Thurs) THURSDAY – FBO Breakout Training BBQ (Tues pm) Quantity* BREAKFAST (Wed am) Quantity* LUNCHEON (Wed) Quantity* BANQUET (Wed pm) Quantity* BREAKFAST (Thurs am) Quantity* LUNCHEON (Thurs) Quantity* TUESDAY – GOLF Quantity* TUESDAY – TRAP SHOOTING Quantity* WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Quantity* TUESDAY – New to AI welcome – FREE Quantity* WEDNESDAY-BREAKOUT SESSION (Young Professionals) Quantity* THURSDAY-FBO Breakout Training Quantity* Vegetarian option for the Banquet – Main Registrant?* Yes No Additional Attendees InformationDo you wish to register additional people?* Yes No Do you wish to register additional people for the FBO breakout training?* Yes No How many additional FBO registrations do you wish to purchase?*01234How many additional people do you wish to register?* 1 2 3 4 HiddenTHURSDAY-FBO Additional Breakout Training Quantity* HiddenTHURSDAY-FBO Additional Breakout Training Quantity* HiddenTHURSDAY-FBO Additional Breakout Training Quantity* HiddenTHURSDAY-FBO Additional Breakout Training Quantity* Additional Attendee FBO Training* First Last Additional Attendee FBO Training 2* First Last Additional Attendee FBO Training 3* First Last Additional Attendee FBO Training 4* First Last Additional Registrations You may add up to 4 additional registrants. If you wish to add more than 4, please submit a new registration form online or contact the office.Additional Attendee 1* First Last Registration Selection Additional Attendee 1* MEMBER – Single – Reg 1 ($410.00) NON-MEMBER- Single – Reg 1 ($610.00) MEMBER – Couple – Reg 1 ($560.00) NON-MEMBER – Couple – Reg 1 ($810.00) MEMBER – Wednesday Only – Reg 1($250.00) NON-MEMBER – Wednesday Only – Reg 1 ($350.00) MEMBER – Thursday Only – Reg 1 ($239.00) NON-MEMBER – Thursday Only – Reg 1 ($300.00) Spouse/Guest Name Additional Attendee 1* First Last Activities and Meals Additional Attendee 1*Please select which activities and meals you will be attending. BBQ (Tues pm) BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) BREAKFAST (Thurs am) LUNCHEON (Thurs) TUESDAY – GOLF ($150 billed later) TUESDAY – TRAP SHOOTING ($150 billed later) TUESDAY – New to AI welcome – FREE WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION THURSDAY – FBO Breakout Training Activities Additional Attendee 1 Wednesday Only*Please select which activities and meals you will be attending. BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Activities Additional Attendee 1 Thursday Only*Please select which activities and meals you will be attending. BREAKFAST (Thurs am) LUNCHEON (Thurs) THURSDAY – FBO Breakout Training BBQ (Tues pm) Quantity Att 1* BREAKFAST (Wed am) Quantity Att 1* LUNCHEON (Wed) Quantity Att 1* BANQUET (Wed pm) Quantity Att 1* BREAKFAST (Thurs am) Quantity Att 1* LUNCHEON (Thurs) Quantity Att 1* TUESDAY – GOLF Quantity Att 1* TUESDAY – TRAP SHOOTING Quantity Att 1* WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Quantity Att 1* TUESDAY – New to AI welcome – FREE Quantity Att 1* THURSDAY- FBO Breakout Training Quantity Att 1* Vegetarian option for the Banquet? – Additional Attendee 1* Yes No Additional Attendee 2* First Last Registration Selection Additional Attendee 2* MEMBER – Single – Reg 2 ($410.00) NON-MEMBER- Single – Reg 2 ($610.00) MEMBER – Couple – Reg 2($560.00) NON-MEMBER – Couple – Reg 2 ($810.00) MEMBER – Wednesday Only – Reg 2 ($250.00) NON-MEMBER – Wednesday Only – Reg 2 ($350.00) MEMBER – Thursday Only – Reg 2 ($230.00) NON-MEMBER – Thursday Only – Reg 2 ($300.00) Spouse/Guest Name Additional Attendee 2* First Last Activities and Meals, Additional Attendee 2*Please select which activities and meals you will be attending. BBQ (Tues pm) BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) BREAKFAST (Thurs am) LUNCHEON (Thurs) TUESDAY – GOLF ($150 billed later) TUESDAY – TRAP SHOOTING ($150 billed later) TUESDAY – New to AI welcome – FREE WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION THURSDAY – FBO Breakout Training Activities Additional Attendee 2 Wednesday Only*Please select which activities and meals you will be attending. BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Activities Additional Attendee 2 Thursday Only*Please select which activities and meals you will be attending. BREAKFAST (Thurs am) LUNCHEON (Thurs) THURSDAY – FBO Breakout Training BBQ (Tues pm) Quantity Att 2* BREAKFAST (Wed am) Quantity Att 2* LUNCHEON (Wed) Quantity Att 2* BANQUET (Wed pm) Quantity Att 2* BREAKFAST (Thurs am) Quantity Att 2* LUNCHEON (Thurs) Quantity Att 2* TUESDAY – GOLF Quantity Att 2* TUESDAY – TRAP SHOOTING ($150 billed later) Quantity Att 2* WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Quantity Att 2* TUESDAY – New to AI welcome – FREE Quantity Att 2* THURSDAY – FBO Breakout Training Quantity Att 2* Vegetarian option for the Banquet? – Additional Attendee 2* Yes No Additional Attendee 3* First Last Registration Selection Additional Attendee 3* MEMBER – Single – Reg 3 ($410.00) NON-MEMBER- Single – Reg 3 ($610.00) MEMBER – Couple – Reg 3 ($560.00) NON-MEMBER – Couple – Reg 3 ($810.00) MEMBER – Wednesday Only – Reg 3 ($250.00) NON-MEMBER – Wednesday Only – Reg 3 ($350.00) MEMBER – Thursday Only – Reg 3 ($230.00) NON-MEMBER – Thursday Only – Reg 3 ($300.00) Spouse/Guest Name Additional Attendee 3* First Last Activities and Meals, Additional Attendee 3*Please select which activities and meals you will be attending. BBQ (Tues pm) BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) BREAKFAST (Thurs am) LUNCHEON (Thurs) TUESDAY – GOLF ($150 billed later) TUESDAY – TRAP SHOOTING ($150 billed later) TUESDAY – New to AI welcome – FREE WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION THURSDAY – FBO Breakout Training Activities Additional Attendee 3 Wednesday Only*Please select which activities and meals you will be attending. BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Activities Additional Attendee 3 Thursday Only*Please select which activities and meals you will be attending. BREAKFAST (Thurs am) LUNCHEON (Thurs) THURSDAY – FBO Breakout Training BBQ (Tues pm) Quantity Att 3* BREAKFAST (Wed am) Quantity Att 3* LUNCHEON (Wed) Quantity Att 3* BANQUET (Wed pm) Quantity Att 3* BREAKFAST (Thurs am) Quantity Att 3* LUNCHEON (Thurs) Quantity Att 3* TUESDAY – GOLF Quantity Att 3* TUESDAY – TRAP SHOOTING ($150 billed later) Quantity Att 3* WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Quantity Att 3* TUESDAY – New to AI welcome – FREE Quantity Att 3* THURSDAY – FBO Breakout Training Quantity Att 3* Vegetarian option for the Banquet? – Additional Attendee 3* Yes No Additional Attendee 4* First Last Registration Selection Additional Attendee 4* MEMBER – Single – Reg 4 ($410.00) NON-MEMBER- Single – Reg 4 ($610.00) MEMBER – Couple – Reg 4 ($560.00) NON-MEMBER – Couple – Reg 4 ($810.00) MEMBER – Wednesday Only – Reg 4 ($250.00) NON-MEMBER – Wednesday Only – Reg 4 ($350.00) MEMBER – Thursday Only – Reg 4 ($230.00) NON-MEMBER – Thursday Only – Reg 4 ($300.00) Spouse/Guest Name Additional Attendee 4* First Last Activities and Meals, Additional Attendee 4*Please select which activities and meals you will be attending. BBQ (Tues pm) BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) BREAKFAST (Thurs am) LUNCHEON (Thurs) TUESDAY – GOLF ($150 billed later) TUESDAY – TRAP SHOOTING ($150 billed later) TUESDAY – New to AI welcome – FREE WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION THURSDAY – FBO Breakout Training Activities Additional Attendee 4 Wednesday Only*Please select which activities and meals you will be attending. BREAKFAST (Wed am) LUNCHEON (Wed) BANQUET (Wed pm) WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Activities Additional Attendee 4 Thursday Only*Please select which activities and meals you will be attending. BREAKFAST (Thurs am) LUNCHEON (Thurs) THURSDAY – FBO Breakout Training BBQ (Tues pm) Quantity Att 4* BREAKFAST (Wed am) Quantity Att 4* LUNCHEON (Wed) Quantity Att 4* BANQUET (Wed pm) Quantity Att 4* BREAKFAST (Thurs am) Quantity Att 4* LUNCHEON (Thurs) Quantity Att 4* TUESDAY – GOLF Quantity Att 4* TUESDAY – TRAP SHOOTING ($150 billed later) Quantity Att 4* WEDNESDAY – NEW BOARD MEMBER TRAINING SESSION Quantity Att 4* TUESDAY – New to AI welcome – FREE Quantity Att 4* THURSDAY – FBO Breakout Training Quantity Att 4* HiddenTotal BarbequesHiddenTotal Breakfasts (Wed Am)HiddenTotal Luncheons (Wed pm)HiddenTotal Banquets (Wed pm)HiddenTotal Breakfasts (Thurs am)HiddenTotal Luncheons (Thurs)HiddenNames for Badges TUESDAY – GOLF total number orderedEach golf registration will be billed at a rate of $150 eachTUESDAY – TRAP SHOOTING total number orderedEach trap shooting registration will be billed at a rate of $150 eachTHURSDAY – FBO Breakout Training total number orderedEach FBO Training registration will be billed at a rate of $50 eachTHURSDAY – FBO Breakout Training total number orderedFree FBO training sessionsTUESDAY – TRAP SHOOTING total number orderedBilled at a rate of $150 eachTUESDAY – New to AI welcome – FREE total number orderedVegetarian option for the Banquet? – Additional Registrant 4* Yes No Convenience Fee* Price: Late Registration Fee Price: Total Credit Card PaymentIf credit card was selected as the payment method, this will be the total that you be invoiced for. Additional charges will apply if golf and trap shooting selections were ordered. Total Registration (Invoice)If invoice was selected as the payment method, this will be the total that you be invoiced for. Additional charges will apply if golf and trap shooting selections were ordered.This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit CardCard Details Cardholder Name When submitting the form, please wait for the transaction to be processed. Submitting more than once, may lead to multiple charges posted to your account.