Please print out this registration form and mail it, along with check, money order, or credit card information to:
Lincoln Highway Association
PO Box 1075
Tooele, UT 84074-1075
| Name(s): | ____________________________________________________ |
| ____________________________________________________ | |
| Address: | ____________________________________________________ |
| City: | _____________________________ State: ______ Zip: ________ | Phone: | ______________________ E-mail: ________________________ |
REGISTRATION FEES
| Conference Activity | Fee | × No. | Amount |
| Full 16th Annual Conference (all activities and meals shown) | $275 | ||
| Conference Only (all activities except bus tours and related bus tour meals) · includes replica of rare LHA Notable Service Award Medallion | 185 | ||
| Tuesday, June 17 — Welcome Dinner (buffet with 3 meat choices) | 35 | ||
| Wednesday, June 18 — West Tour: Echo Canyon · includes lunch | 45 | ||
| Thursday, June 19 — Breakfast, speakers/seminars, and lunch | 45 | ||
| Thursday, June 19 — Awards Banquet · prime rib or chicken · includes Lincoln Highway Map and Acrylic Antique Car | 45 | ||
| Friday, June 20 — East Tour: Ft. Bridger and Granger · includes lunch | 45 | ||
| Friday, June 20 — Dinner in Lincoln Highway Tent · BBQ beef & chicken | 35 | ||
| Saturday, June 21 — Mountain Man Breakfast at the roundhouse with rides on the UPRR turntable · followed by annual business meeting | 25 | ||
| Book Room table fee (individuals) | 25 | ||
| Book Room table reservation for chapters | 0 | 0 | |
| TOTAL FEE |
Pork offered with any meal will be served as an optional side dish.
Any part or full conference registration will include tote bag (Water Bag replica), free postcards for stamp cancellation, and a replica of the rare Lincoln Highway Notable Service Award Medallion.
All paid registrations postmarked by May 2 will be entered into a drawing at the awards banquet for one free full conference rebate.
Cancellation Policy: Cancellations received by the Association prior to June 6 will be accepted without question. A fee of $25 will be deducted to cover processing. After June 6 there will be no refunds except those granted by the Executive Committeefor cases of extreme hardship.
Credit Card Information:
Circle One: Visa MasterCard Discover
Name as appears on card __________________________________
Credit Card Number _________-_________-_________-________ Expiration Date ______-______
Signature______________________________________________
WAIVER OF LIABILITY (must be signed by all registrants)
The undersigned hereby agrees that the Lincoln Highway Association and/or its officers and directors shall have no responsibility or liability, in whole or in part, for any loss, damage, or injury to person or property, or any act of omission resulting from, arising out of, or occurring during any activity, program, tour, meeting, meal, or other service and facility furnished or supplied in conjunction with the Annual Lincoln Highway Association Conference.
Signed ______________________________________ Date ___________
Signed ______________________________________ Date ___________
Signed ______________________________________ Date ___________
Signed ______________________________________ Date ___________