H.B.C.A  Convention
June 27-29, 2008
Milwaukee, Wisconsin
Registration Form

Last Name  _______________________________First Name ____________________________

Address _____________________________________ City  ______________________________

State ____________   Zip Code  _______________ Phone #  __________________________

Email Address ____________________Name you want appearing on badge _______________________

Booster Club ________________________________ 

Text Box: I will attend the HBCA Convention as (Please circle one): Single $280 Double $200 Triple $170 Quad $160 Full convention weekend (no hotel) $115 Banquet Only $60 Banquet Only-Child (ages 5-15 years) $35.00 Room Needs (Circle Choice): Handicapped yes no Smoking Room yes no Number of Beds 1 2 Cot Needed yes no # Children in room 1 2 3+ Other: ___________________________________ **Early arrival nights must be handled directly with the hotel and paid for separately. Contact the Best Western Airport Hotel Milwaukee 414-769-2100 or toll free 877-461-8547. **When making reservation please mention the HBCA Convention Room Block Rate. **
Text Box: Roommate Information: 1. Name ______________________________ Booster Club ________________________ 2. Name ______________________________ Booster Club ________________________ 3. Name ______________________________ Booster Club ________________________

T-Shirt Size (Check One)  Adult Sizes

___ small            ___ medium              ___ large

___  XL        ___ 2XL       ___  3XL           ___ 4XL

 

Travel Information:
            Arrival  Date  __________________
 
            Departure Date _____________

 

All checks payable to:
Admirals Crew Inc
Attn:  HBCA Convention
PO Box 091864
Milwaukee WI, 53209