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ALDAcon 2016 Online Registration
*First Name:
Nickname for ID badge:(if different from first name)
*Last Name
Address #2
*Phone Type
*Email Address:Valid email is required
*I am a member of ALDA (Chapter/Group or none)
*Hearing Status:
Born Deaf
I am Personal Care Attendantfree reg; must purchase meals
This is my First ALDAcon
Hearing / Service Dog: You MUST indicate here if you are bringing a hearing/service dog.(Dog must stay on leash.)
**Join or Renew ALDA Membership
Membership in ALDA Inc. is NOT the same as an ALDA chapter/group membership.
You must be a member of ALDA Inc. to obtain the member rate for the convention.
New or Renew
*Full Registration prices include workshops, exhibits, entertainment, & speakers.
The following are also included in full Registration Fee:
* Wednesday Welcome Reception
* Thursday President`s Luncheon
* Friday Appreciation Luncheon
* Friday I. King Jordan Award Banquet
* Saturday Inspiration Luncheon
* Saturday Karaoke Party
* Sunday Farewell Brunch
ALDA Member
Registration Type:
Registration Type:
Registration Type:
Spouse / SO: limited to one companion per Full Registration
Registration Type:
Single Day Registration
Single Days Registration
Day(s) Selected
- One, Two, or Three-day registrations include meals (except for the I. King Jordan Banquet and the Saturday Karaoke)
A LA CARTE Meals/Events
Specify number of tickets for each ADDITIONAL meal or event:
Thursday President`s Luncheon
Friday Appreciation Luncheon
Friday I.King Jordan Awards Banquet
Saturday Inspiration Luncheon
Saturday Karaoke Party
Sunday Farewell Brunch
Tax Deductible Donation
Tax-Deductible Donation   
Special Needs
Dietary needs are:
"ADA room kits" needed:
Mobility accessible room needed:
Any other needs:
All workshops / events will feature sign language interpreters and CART (Communication Access Realtime Translation). Workshop rooms will be looped to assist those with T-coils.

I would like help with a Roommate
Yes No 
I am a:
Additional Information
By checking YES above, 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.
Refund Policy for Registrations
Requests for refunds (minus $50.00 handling and processing fee) will be honored until July 31, 2016. 6
NO refunds will be given after August 1, 2016. Contact ALDAcon 2016 co-planning chair, Jane Schlau at Janeila@nac.com for consideration of unique circumstances, such as illness or a death in the family and for registration transfer information.
EZ Pay Plan
If you wish to make payments toward your registration and/or hotel costs, please use the fields below, instead of the (ALDA Member, Non-Member, Veteran, etc.) fields above. Total registration must be received by August 1st using this multiple payment plan. Minimum payment Of $50. to start, any increment afterwards. This locks in the Early Bird rate, as long as you start before the Early Bird deadline.
Indicate Registration or Hotel   
Indicate Registration or Hotel   
*Payment Method
Pay online with Credit Card using PayPal ** No PayPal account needed *
Print and Mail with Check or Money Order
Print and Mail - For manual CC process
Reserve Your Hotel Room TODAY!
Reserve Your Room at the Sheraton Milwaukee Brookfield Hotel TODAY!
The ALDAcon room rate of $116.00 + taxes ends Sept. 2nd.
Sheraton Milwaukee Brookfield Phone number is: (262)364-1100
Hotel reservations may be made online at the following link:
Mailing Address
Mail Check or Credit card info to:
ALDAcon 2016 Registration
c/o Karen Krull
7815 S Central
Burbank, IL 60459 USA
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