First Name (required) Last Name (required) TCCNA Title: Chamber of Commerce: Gender: Male Female DOB Dietary Preference: Address: Tel: Fax: Cell: E-mail: TCCNA 2019~2020 FEE: Paid Unpaid Partners Name ( Same as Photo ID ) Gender Relationship Dietary Preference Attendance fee 1. The TCCNA of directors and Supervisors and above who have paid the 2019 – 2020 member fee s are exempt from payment. 2. D irectors and Supervisors and above are carrying spouses or direct family me mbers, and the first person is present for free. The attendance fee for the second person is the same as non – supervised supervisor. 3. We will charge 350 dollars per person for non – supervisory supervisors, members and non – members. Flight Pick-up: Yes No Flight number: Arrival time: AM PM Pick spot: Drop – off: Yes No Arrival time: AM PM Hotel Check – In : Check – Out Confirmation #: Bellagio Resort & Casino Add: 3600 S Las Vegas Blvd, Las Vegas , NV 89109 Traditional Room : USD $ .00 +tax Please check 10 / 31 – 11 / 03 programs that you would like to participate, you will be charged whether you attend or not. 10 / 31 ( Thu ) Dinner : Attendees 11 / 01 ( Fri ) Golf tournament: Attendees ( Another applic ation form ) 11 / 01 ( Fri ) Dinner: Attendees 11 / 02 ( Sat ) Lunch: Attendees 11 / 02 ( Sat ) Dinner: Attendees 11 / 03 1Day trip: Attendees (Another application form) 11 / 04 5Days trip: Attendees (Another application form)