Fill out Registration Below completely to help the Host Committee fulfill your requests. Only ONE Registration per form please! (Multiple Registrations need Multiple Forms)
Registration not valid until Payment received.
Fill out Registration form completely ( Mandatory Fields must be completed before Form will submit )
To Pay OnLine Click Submit Form and follow instructions in PayPal Window that will Open. Login to your PayPal Account to Pay with PayPal.
To Pay With Credit Card: Click Submit Form and enter Credit Card Information (AMEX-Visa-Mastercard-Discover) below “PayPal Guest Checkout” and follow Instructions. (This will simply use your credit Card not a PayPal Account)
*** Please check Box indicating your Payment Type choice on the Registration Form. ( Mandatory)
To Pay with Cheque or Money Order : Mark Box next to Cheque or Money Order in Payment Section. Make cheque payable to “ICSAA 2020″ and Mail along with Printed Form filled out, to :
Gregg Ottinger 13503 W. 47th Terrace- Shawnee, KS 66216.
Mail -In :
Download Printable Form at Bottom of Page, fill out completely and mail with payment to:
Gregg Ottinger 13503 W. 47th Terrace- Shawnee, KS 66216