California State Event at the Southwest Regional Conference, on Wed., July 5, 2017, 5 p.m. to 7 p.m.
Great Food!
Wonderful Company!
Ocean Views!
No-Host Bar!

Each guest must register individually.
Cost $40.00

Tiki’s Grill and Bar
In the Aston Waikiki Beach Hotel
2570 Kalakaua Ave, Honolulu, Hi 96815

You will receive a confirmation e-mail that you have submitted your registration.
You may wish to print this email for your records.

Please proofread and double check your e-mail and other contact information.

Email address
First Name
Your answer
Last Name
Your answer
Street Address
Your answer
Your answer
Your answer
Zip Code
Your answer
Phone Number
Your answer
Guest (type none or the name of guest)
Your answer
Payment (You will receive an invoice within 5 days)
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms