Final registration is May 15, 2017, and payment is due at time of registration. Fee covers the Convention and activities for one attendee for Thursday, Friday and Saturday. Guest tours and dinners are separate.Name First Last Please fill out a separate form for each attendee or guest.Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email PhoneTag Name*Affiliated Club*No club affiliationAdirondackAkronAlbanyAthensAugustaBlue Ridge–LeesburgBoulderBuffaloCentral PennsylvaniaChambersburgCincinnatiColumbiaColumbia-MontourColumbusDelawareDes MoinesDurham-Chapel HillElmiraErieFort WorthFox ValleyFrederickFredericksburgGeneseoGettysburg-Adams CountyGreater RochesterHagerstownHampton RoadsHastingsHigh CountryKalamazooKearneyLancasterLansingLehigh ValleyLimaLincolnMontgomery CountyMuskegonPortsmouthReadingRichmondRoanoke ValleyRochesterSaginaw ValleySan AntonioSaratogaSchenectadySouth Hampton RoadsSoutheast NebraskaSt. CatharinesStroudsburgToledoTrentonTriState Regional, CumberlandWayne NebraskaWestern South CarolinaWestministerWinchesterWinston-SalemWorcesterWyoming ValleyYoungstownRegistration Type*Full RegistrationGuest RegistrationPlease select your registration type. Guest activities are priced à la carte. Also for please select meals and tours for each day – guests too. RegistrationRegistration Date*Before March 13, 2017By May 15, 2017ThursdayConvention, Opening Reception & After Glow Party. We’ll start the Convention in the afternoon with a welcome session. Later, enjoy a casual reception at the Radisson (cash bar). We’ll serve an array of satisfying hors d’oeuvres and feature entertainment by Crawlspace Eviction – a local improv group. Finish the night at the After Glow Party at the historic Park Club. Thursday Activities Attending Opening Reception Attending After Glow Party Thursday Activities Opening Reception After Glow Party Please select the activities you will attendThursdayActivitiesThursday is Mentor Night Help us mentor a new generation of Torch. For and additional $50 each, introduce students and young professionals to Torch and its value as a forum for reasoned discourse. Enter the number of guests you plan on bringing to the Thursday reception plus After Glow Party at the Park Club. Name tags will be issued Thursday night. OptionMentor - 1 GuestMentor - 2 GuestsMentor - 3 GuestsMentor - 4 GuestsMentorNightFridayFriday – Convention, Tours, Reception & Awards Dinner Attend the Convention, then join a tour with a gourmet boxed lunch. Cocktail reception and Awards Dinner at Cityscape (cash bar). Entertainment by the acclaimed Western Jazz Quartet.Friday ToursGilmore Car MuseumKalamazoo Air ZooNeitherFriday Lunch BoxRoast Beef SandwichTurkey/Chicken SandwichVegetarian SandwichFriday DinnerBeefChickenFishVegetarianFriday Activities Friday Tour with Lunch Box Friday Reception, Awards Dinner & Entertainment Please select the activities you will attendFridayActivitiesSaturdaySaturday – Convention, Tours, Reception & Paxton Banquet Attend the Convention, then enjoy a Radisson luncheon buffet before your tour. Cocktail reception and Paxton Banquet at the Radisson are included in full registration (cash bar). Guests prices separate.Saturday ToursKalamazoo Institute of ArtsKalamazoo Valley MuseumKVCC Wellness CenterNoneSaturday DinnerBeefChickenFishVegetarianSaturdayActivitiesSaturday Activities Saturday Buffet Luncheon & Tour Saturday Reception, Paxton Banquet & Entertainment . Please select the activities you will attendSpecial NeedsPlease indicate allergies, dietary restrictions, and mobility requests/restrictions. Vegan diets can be easily accommodated. List allergies or other special needs in the text field on the right side.Special Needs Allergies (list Gluten Free Vegetarian Vegan Wheel Chair Walker Other Special Needs - DetailsHotelRadisson Plaza Hotel Kalamazoo Center – 100 West Michigan Avenue, Kalamazoo, Michigan 49007 Mention Torch 2017 to get our rate of $129 per night. Call 1-800-395-7046 or (269) 343-3333 to book. www.radissonkzoo.comTotal $0.00 This page is unsecured. 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