This form is for Credit Card online registration ONLY.
If you want to mail a check for registration, download a PDF version of this form HERE
. Then print and mail the form with your check. Thank you.
Valid e-mail is required.
Dog must stay on leash.
No charge for registration, but meals must be purchased. Please fill in name of the registered person you are assisting below.
Name of Person Assisting
Full registration prices include workshops, exhibits, entertainment, speakers, and the following events: Wednesday Reception, Thursday Lunch, Friday Lunch & Banquet, Saturday Karaoke Party, and Sunday Breakfast.
Only applicable when combined with married partner's full registration.
(First name will be shown on ID badge)
Note: Friday Banquet or Saturday Karaoke Party can be purchased separately below. Thursday or Friday registration includes lunch if registered before 10/4/17. Saturday AM does not include lunch.
Online Registration Closes Oct. 4, 2017 at 11:59PM
On & after 10/5/2017, online registration is CLOSED and you may register onsite only. Onsite registration includes workshops, speakers, and exhibit hall. No meals are included with onsite registration. Meals can be purchased onsite IF the hotel can accommodate the request. We encourage you to register in advance for the best value.
A LA CARTE Meals/Events
Please specify below the number of ADDITIONAL meal tickets (such as for a non-registered guest, or a single day registration meal/event that is not covered). Please note that all meals are included in a full registration, except for onsite registration. No meals are included with any onsite registration, either full registration or single day. Single day registration meals as noted above.
Please fill in quantity with total amount of donation (i.e. 50 for 50 dollars)
Please pay the grand total listed above in full.
Please note any dietary needs or allergies:
Please check if the following special needs are requested:
By selecting YES below, I agree to allow the ALDAcon roommate coordinator to share my information via email with any ALDA attendee of the same gender. Also I agree to coordinate with my potential roommate to determine if we are a match. We will discuss items such as service animals, allergies, smoking, etc. We will then notify the roommate coordinator by email of our decision after determining if we agree to room together & share expenses. NOTE: All room reservations are the responsibility of the agreed- upon roommates.
I am a:
Reserve Your Hotel Room TODAY
The original ALDAcon room block is filled, but we were able to secure more rooms at the rate of $139.+ taxes. and that rate will be good until September 19, 2017, unless the hotel completely sells out. So you had best not wait until the last minute (September 19th) to make your reservation. Word to the wise! The phone number at the B Resort & Spa is (866) 990-6850, and guests need to mention ALDAcon in order to receive the special rate.. Please click on this link to reserve your hotel room. Reserve Hotel Here
Requests for refunds (minus $50.00 handling and processing fee) will be honored until July 31, 2017. No refunds will be given from August 1, 2017 on. Contact ALDAcon 2017 co-planning chair, Lois Maroney, at email@example.com for consideration of unique circumstances, such as illness or a death in the family.
Method of Payment
We accept checks or money orders payable to "ALDAcon 2017". Credit card payments can be processed online only, payable thru Stripe, our preferred online credit processor. Stripe will accept American Express, Visa, MasterCard, or Discover credit cards.
You may also print and mail form with check or money order to:
ALDAcon 2017 Registration,
% Karen Krull,
7815 S. Central Ave.,
Burbank, IL. 60459
***PLEASE NOTE: GRAND TOTAL ABOVE IS THE AMOUNT YOU WILL BE CHARGED ON YOUR CREDIT CARD. PLEASE MAKE SURE IT IS THE CORRECT AMOUNT YOU WISH TO PAY BEFORE SUBMITTING.***