Nebraska/Iowa Chapter

AAII Registration

This meeting will be held from 7-9 P.M. at the Park Inn Regency Lodge, 909 South 107th Avenue, in Omaha (take interstate 680 to Pacific, go east to 107th Street, then go North to Best Western at Shaker Place). A "social hour" with refreshments precedes the meeting at 6:30 P.M.

It helps us plan for the meeting when you pre-register. Thank you!

To move from field to field, or to make a selection, use your mouse. Some browsers also support the TAB key for moving from field to field. If you inadvertently hit ENTER and Send the form before it is complete, use your browser's BACK key to return to the form, and then finish filling it out and then Send it again.

When you are ready to submit the form use your mouse to press the Send Registration button at the bottom of the page--and THANK YOU for your interest in AAII.

NOTE: Fields marked with an asterisk* are required for proper processing.

Meeting date*
Your Name*:
Address Line One*:
Address Line Two:
City*:	State*:
Zip Code*:
Phone*:
E-Mail Address*:

@ $10.00 (member or member's family)	AAII Member Number
@ $15.00 (non-members)