2017
REGIS TRATION FORM
HOTEL: The ACC AIRPORTS TECHNICAL WORKSHOP will be held at the DoubleTree by Hilton
Washington DC — Crystal City, 300 Army Navy Drive, Arlington, VA 22202; Phone: (703) 416-4100.
Attendees will receive the SPECIAL rate of $239.00 single per night. The special rate is only
available while inventory is available, so don’t delay and reserve your hotel today. Indicate that you
are attending the ACC Airports Technical Workshop to receive the discounted rate. Reservations
made after Tuesday, May 30, 2017 will be based on availability at the hotel’s prevailing rates.
JUNE 21 – 22
GROUND TRANSPORTATION: The DoubleTree by Hilton Washington DC — Crystal City
is 1.4 miles from Ronald Reagan Washington National Airport.
ARLINGTON, VA
REGIS TRANT INFORMATION
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CHECK HERE IF THIS IS A NEW ADDRESS
CHECK HERE IF YOU ARE A YOUNG PROFESSIONAL (35 AND UNDER)
MR / MS
NAME (FIRST, LAST)
TITLE
FIRST NAME OR NICKNAME FOR BADGE
>
AIRPORT / COMPANY NAME / ORGANIZATION
>
STREET ADDRESS
CITY
PHONE #
FAX #
STATE / PROVINCE
ZIP / POSTAL CODE
>
>
>
E-MAIL #1
(AN AUTOMATED CONFIRMATION LETTER WILL BE SENT TO THIS E-MAIL)
E-MAIL #2
(IF YOU WANT CONFIRMATION SENT TO AN ADDITIONAL E-MAIL ADDRESS)
ADA q Check here if you require assistance in order to fully participate in this meeting.
q Check here for dietary restrictions. Please specify:
FEE & PAY MENT
FULL REGISTRATION
BEFORE 5/31/17
ACC Member/Airport
$525
Non-member
$775
TOTAL $_______________
PAYMENT METHOD
q Enclosed is my check made payable to ACC.
q Charge to credit card:
m AMERICAN EXPRESS
ACCOUNT NUMBER
EXPIRATION DATE
NAME AS IT APPEARS ON CARD
m MASTERCARD
TODAY’S DATE
SUBMIT FORM
$600
$850
m VISA
CVV CODE
SIGNATURE
AFTER 5/31/17
BILLING ADDRESS (IF DIFFERENT FROM ABOVE)
STREET ADDRESS
CITY
ZIP / POSTAL CODE
STATE / PROVINCE
CANCELLATIONS must be submitted by May 31, 2017. Refunds are issued after the course and are subject to a $75
cancellation fee. NOTE: ACC reserves the right to cancel this program if the number of registrants is insufficient. In
this event, we will notify all registrants and refund the registration fee in full. However, any costs incurred by the
registrant, such as hotel cancellation or airline penalties, are the responsibility of the registrant.
Send form along with payment. Make check payable to ACC or provide credit card number and expiration date for American Express, Mastercard or VISA.
ONLINE: www.ACConline.org OR EMAIL TO: [email protected] OR MAIL TO: ACC, 908 King Street, Suite 100, Alexandria, VA 22314
Sponsorship & exhibiting
opportunities available:
Contact Colleen Flood, Director, Marketing,
Membership, & Meeting Services at
703-683-5900 or [email protected].
For an agenda and more event information visit www.ACConline.org or call 703-683-5900.
#AirportsTechnical