AELL Owners Only Executive Series: CLASS C February 6-9, 2018
Please note space at hotel is limited, signing up early will ensure availability for extensions and special requests. Special requests will be prioritized based on date of deposit. Deposits are NON-REFUNDABLE.
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RESORT RESERVATION FORM-CLASS C
Please fill in form completely and click submit at bottom of form. Thank you for registering!

IMPORTANT NOTE: Training registration is a separate process and must be completed within 14 business days of the submission of this form. Register for training at https://www.eventbrite.com/e/2018-owners-only-executive-series-tickets-35238970710.

What is your full name as it appears on your passport? *
Your answer
What is expiration date of passport(s)? **Please Note: Passport must be valid 6 months beyond your return date. *
Your answer
Full Name of Companion or N/A if Single Occupancy *
Your answer
Center Name and Address: *
Your answer
Daytime Phone *
Your answer
Primary Email Address
Your answer
I would like to extend my stay to include the following extra nights:
Your answer
I would like to register for the following lodging option. I understand all pricing includes transfer: *
My arrival and flight information is below. This is required information to receive the transfers that are included with your registration pricing.
Your answer
I would like information on Optional Excursions.
I would like information on Optional Travel Insurance. *
If Travel Insurance is chosen please provide birth dates for all travelers. *
Your answer
I would like to charge the 500.00 deposit on: *
Credit card payments can be made in one of the following ways: (Please choose one) *
Credit Card Submission
Registration is not complete until $500 deposit has been paid for venue accommodations.
Credit Card Number
Your answer
Expiration Date (mm/yy)
Your answer
Security Code
Your answer
Billing Address (please include zip code)
Your answer
I authorize final payment to be made on September 15, 2017 to same credit card as deposit *
Emergency Contact: Please provide name, phone number and relationship of someone not traveling with you. *
Your answer
Submit
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