ALOA 2024 | South Point Hotel & Casino | Las Vegas, Nevada 47 REGISTRATION FORM 1 CONVENTION REGISTRATION FORM Please type of print your information. Membership must be current to receive membership pricing. ALOA Member # ___________________________________________ SAVTA Member # ____________________________________________ Non-Member PRP/STPRP Status: RL CRL CPL CML CAL CMAL CAI CPS CMST CLL CEL CFL - (Type) ____ Other Required Check the box that applies best for each of the following: • Are you a first-time attendee? Yes No • If yes, will you be attending the First-Time Attendee Orientation on Monday, July 22 at 7:15 a.m.? Yes No • Will you be attending the Kick-Off Party? Yes No Number of Guests ______ Total Number Attending: ______ N/A • Are you a Business Owner or Employee • Choose your purchasing role: Decision Maker or Recommend Products • Size of Business: Owner Only 1-2 Employees 4-6 Employees • Will you attend the Security Expo: Yes No • How much time will you spend at the Expo: 1-3 Hours 4-6 Hours 7-9 Hours 10 Hours or More • Do you have any food allergies or special dietary needs? (unable to accommodate kosher meals). Explain:_______________ Registrant First Name ______________________________________________MI __________ Last Name _________________________________________________________________ Name Badge ________________________________________________ Company ___________________________________________________ Street or P.O. Box ___________________________________________ City _________________________ State/Province ______________ ZIP/Postal Code ______________ Country ____________________ Cell Number _________________ Work Number _______________ Email _______________________________________________________ Is this an address change? Yes No Spouse/Child/Guest (complete only if attending). *GUESTS MAY NOT ATTEND CLASSES First Name __________________ Last Name __________________ First Name __________________ Last Name __________________ Membership Status Check here to renew your membership Check here to become a new member New membership must be accompanied by completed application (see ALOA.org). Go Green Regular Annual dues - Active (MDD) $240 $280 = Annual dues - International (MDI) $210 $290 = Annual dues - Retired (MDR) $55 = Annual dues - IAIL (MIA) $65 = Annual dues (add-on) - IAAL (MAA) $50 = Annual dues - IAAL $240 $280 = Annual dues - AIL $240 $280 = Annual dues (add-on) - AIL $50 = Packages/Individual Classes: Two half days equal the one-day class package. By June 30 After June 30 Five Card Stud (5 days) (PKG5) Member $1,275 $1,375 = __________ Non-Member $1,490 $1,595 = __________ Four Your Eyes Only Package (4 days) (PKG4) Member $1,065 $1,175 = __________ Non-Member $1,275 $1,380 = __________ Trifecta Delight Package (3 days) (PKG 3) Member $915 $1,015 = __________ Non-Member $1,065 $1,175 = __________ Double Down Success Package (2 days) (PKG2) Member $595 $700 = __________ Non-Member $800 $920 = __________ One-Armed Bandit (1 day) (PKG1) Member $310 $360 = __________ Non-Member $415 $465 = __________ Half Risk/Double Fun (1/2 day) (PKG.5) Member $150 $175 = __________ Non-Member $200 $225 = __________ ONLINE REGISTRATION IS PREFERRED AND PROVIDES YOUR BEST CHANCE OF RECEIVING FIRST-OPTION SELECTIONS. OR email: registration forms 1, 2 and 3 with your credit card information to: [email protected] OR fax: to (469) 453-5241 Or you can mail (slower processing): Send registration forms 1, 2 and 3 with your check or completed credit card information to: ALOA Registration 1408 N. Riverfront Blvd #303, Dallas, TX 75207 Expo, Meetings and Events: Exhibits Only By June 30 After June 30 Member (EXH) FREE $20 = __________ Non-Member (EXH) $25 $35 = __________ Spouse/Guest (EXG) $10 $15 = __________ Ages 6-15 (CHD) $5 $10 = __________ Kick-Off Party No. Attending = Total for Lab Fees = __________ Total for PRP Fees = __________ Total Amount (ALL Sections) $ ___________________ Payable in U.S. Funds Only, and Payment Required for Complete Registration! There will be a 3% surcharge on all credit card payments. Form of Payment: Check Number ____________________________________________ Charge: Mastercard Visa Discover American Express Card Account Number _______________________________________ Card Expiration Date CVV __________ Print Name on Card _________________________________________ Credit Card Billing ZIP Code _________________________________ Email Address ______________________________________________ Signature ___________________________________________________ ONLINE REGISTRATION IS AVAILABLE ON ALOA.ORG ON THE CONVENTION TAB. A La Carte Classes (Additional classes offered that are not part of any package) CAI Instructor Course (Class 316/416/516) FULL-DAY 316A $695 = __________ You may add up to a 2-day class package along with this class choice. Perfect Raceway Qualified Personnel Program (Class 414A) HALF-DAY 414A $720 = __________ You may add up to a 4-day class package along with this class choice. and/or you can add a one half-day PM class.
