Registration Form: Host: Air Capitol Detachment / Department of Kansas MCL MIDWEST DIVISION CONFERENCE 17, 18 APRIL 2020 Best Western Hotel - 53 Street. N and I135, Wichita (Park City) KS Phone: 316 832 9387 MENU CHOICE – indicate how many: PRIME RIB (#1) ________ SURF & TURF (#2) _________ GRAND TOTAL ___________________ CHECK # _______________ Mail completed form with payment, no later than 1 April 2020, Mail To: Bryson L. Allen 11910 W. Carr Ave Wichita, KS 67209 316-655-8635 Name_______________________________________ Detachment/Dept___________________________/_____ Address___________________________________________City______________________St____Zip_________ Office Held_________________________ eMail: __________________________ Phone: _________________ Auxiliary Member Name________________________________________Unit/Dept___________________/_____ Address (if not same as above)__________________________________City _______________St/Zip___________ Office Held_________________________ eMail: ____________________________ Phone: _________________ Guest Name (for Name Tag)________________________________ If more check here ( and continue on back. CONFERENCE REGISTRATION: Enter # Attending & press ENTER KEY to calculate Total MCL Members Attending: ______ @ $5.00 ea =_______________ Total Auxiliary Members Attending: ________ @ no Registration Fee HOSPITALITY ROOM REGISTRATION: Enter # Attending & press ENTER KEY to calculate Total Number Attending: _______ @ $20.00 ea= ______________ Total BANQUET REGISTRATION: Enter # Attending & press ENTER KEY to calculate Total Number attending ______ @ $50.00 ea= _____________Total Please make check payable to: “Air Capitol Detachment MCL”