53rd AGA - World Airlines Clubs Association



53rd Annual General Assembly: The 2020 Interline CelebrationPost-AGA Tour: Land of the Dragonsand the Lesser Sundas, IndonesiaPackage A: 23–27 October 2020Registration Form(One Form Per Person)To be completed only if the 53rd AGA Registration Form has been submitted.All sections of this form must be completed.Name (as in passport, please print) First, FORMTEXT ????? Middle: FORMTEXT ????? Last: FORMTEXT ?????Telephone. No.:Country code ( FORMTEXT ???) Area code ( FORMTEXT ?????) FORMTEXT ?????E-mail address (please print): FORMTEXT ?????Accommodation RequiredDouble FORMCHECKBOX (one double bed) Twin FORMCHECKBOX (two single beds)Your rooming partner will be (if applicable): First name FORMTEXT ????? Last name: FORMTEXT ????? Would you like WACA to try and find you a rooming partner? Yes FORMCHECKBOX No FORMCHECKBOX . If yes, a male FORMCHECKBOX or female FORMCHECKBOX partner.Special RequirementsPlease specify any allergies, meal restrictions (vegetarian, no pork, no beef, etc.), mobility limitations: FORMTEXT ?????Intended flight arrival from: FORMTEXT ?????Date (day/month/year): FORMTEXT ????? Flight No.: FORMTEXT ?????I will advise at a later date FORMCHECKBOX Intended flight departure to: FORMTEXT ?????Date (day/month/year): FORMTEXT ????? Flight No.: FORMTEXT ?????I will advise at a later date FORMCHECKBOX ConditionsThis is my reservation request for the above package. I have read and understood the package brochure including the conditions regarding payment and cancellation policies, etc. With my signature below I guarantee payment. I also agree that transportation to the starting point and following conclusion of the tour, travel insurance as well as all legal liability(ies) are entirely my responsibility. The World Airlines Clubs Association shall not be liable for any personal injury, loss, damage, delay, accident, changes to the programme or any other irregularity which may occur during the event.Participants must accept the conditions above and agree not to take any legal actions against the World Airlines Clubs Association or any of the suppliers of services related to the event.Signature: _____________________________________________Date (day/month/year): FORMTEXT ?????Scan and return the completed Registration Form to: Mr. Keith Miller, millerk@. Alternatively, complete and return to: Mr. Keith Miller, Administration Manager, World Airlines Clubs Association, c/o International Air Transportation Association, 800 Place Victoria, P.O. Box 113, Montreal, Quebec, Canada H4Z 1M1. ................
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