65th Anniversary Dinner Registration

ARCS Foundation 65th Anniversary Celebration Dinner

June 8, 2024
Chicago, Illinois

Questions? Email aac@arcsfoundation.org or
call the ARCS office at 706-407-2266

IMPORTANT: IN THE BOX BELOW INDICATE THE TOTAL NUMBER OF PEOPLE YOU ARE REGISTERING.
BE SURE TO INCLUDE YOURSELF AND ALL GUESTS.

__________________________________________________________________________________________________

How many people are you registering? *

(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Continue".

Event Registration Info - Email and Phone

First Name *

Last Name *

Nickname (if preferred)

Email Address *

Phone *

Event Details

IMPORTANT NOTE: REGISTER YOURSELF FIRST. IF YOU ARE REGISTERING GUESTS, INCLUDE THEM AND YOURSELF IN THE TOTAL ATTENDEE COUNT. A FORM WILL APPEAR TO REGISTER EACH GUEST SEPARATELY. THE NUMBER OF TIMES A FORM RE-APPEARS DEPENDS ON THE TOTAL NUMBER OF PEOPLE YOU INDICATED YOU ARE REGISTERING.

Friday ARCS 65th Anniversary Dinner *

Dinnner Registration - $ 300.00

ARCS 65th Anniversary Dinner Selection *

Credit Card Processing Fee

Total for this participant

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Registration Information

Chapter Affiliation is a required field. Members, Guests or Scholars scroll down and select the Chapter you are most affiliated with. You may select more than one Chapter. If you have no Chapter affiliation, select "No Chapter Affiliation."

Chapter Affiliation *

Participant Role is a required field. Scroll down and select how you are associated with this event. You may choose more than one participant role.

AAC Participant Roles *

Name Badge is a required field. List how name badge is to be printed. Include titles such as Dr., Hon., Gen.

Name Badge *

If you are an AAC Event Sponsor, please indicate how you would like to be listed in AAC publicity.

AAC Sponsor Recognition

Seating requests do not register your guests for events and tours. Guests must be registered separately.

Seating Request

What ARCS National Board and/or Committee positions do you hold?

National Position(s)

What ARCS Chapter Board and/or Committee positions do you hold?

Chapter Position(s)

List any dietary restrictions.

Restricted Meal Request

List any physical restrictions or needs.

Physical Considerations or Limitations