2014 MTSC-TAA (7/10 - 7/13/2014) Registration Form

2014 MTSC-TAA (7/10 - 7/13/2014) Registration Form

Taiwanese Association of America MidWest Summer Conference in Columbus, OHIO

Fort Rapids Indoor Waterpark Resorts

(4560 Hilton Corporate DR., Columbus, Ohio) www.fortrapids.com

 Contact Information:

Name: (Han-Ji) _______________________   (English)_________________________

Address:  _________________________________________________________________

Phone No.(Home) ______________________   (Cell) ___________________________

E-mail: _________________________________________________

Participant Information:                        room type*  M/F   T-shirt Sz.

1(Han-Ji) ____________(English)_________________      □    □   S M L XL XXL 

2(Han-Ji) ____________(English)____________________  □      □   S M L XL XXL  note* -- room types: 1. db/queen; 2. twins; 3. single occupancy

·          Registration fee: US$45 per person

·         Room & Meals Plus: US$100 per person per day including 4 meals per day and waterpark access (double occupancy - please arrange for your own roommate, if needed), request for single occupancy room can be arranged but will be charged with much higher fee ($50 extra per person per night).  

·         費用以2人一間套房為原則，目前估算，每人費用為100美元per day。/ 若需要同房室友, 為了舒適, 請自行安排。/

·         需個人單獨一間套房，請事先登記，單獨套房費用將加收費用 ($50 per night)，建議盡量避免。

·         每人費用將包ALL餐飲(自晚餐起至次日中餐)及旅館Water Park; 3 day package bonus includes 7/10中餐。

·         請自行安排個人保險。

·         Transportation: free parking and free hotel shelter from/to airport.

·         Please mail the complete registration form and check (payable to TAA) to:

Fee Applied       unit  persons     subtotal    Registration      $45 X ____ =      $___________ Room & Meals +    $100X ____ =      $___________ 1.  7/10~7/13   $300X ____ =      $___________ 2.  7/11~7/13   $200X ____ =      $___________ 3.  7/12~7/13   $100X ____ =      $___________ Single Occupancy Extra     $50 X ____nights X   ____ =      $___________ (total)                             $___________

Mr. Ben Liu   4768 Albany Park Drive New Albany, OH 43054 Question:  Ben at 614-855-4190 benjarmin@hotmail.com or  Rachel at 614-766-812    rburroughs56@yahoo.com or Hwasun at 614-921-0219 hwasunkao@hotmail.com

·         Registration deadline is May 31, 2014 (Postmarked by 5/31/2014).  There will be no refund policy unless serious medical condition.

Liability Waiver Declaration

I hereby waive Taiwanese Association of America, Inc. and board members and staffs from any liability, loss or damage to personal property associated with activities in this tour.  I acknowledge that I have signed this document under my own free will.  

Name 1: ________________signature: ______________________ Date: ____________

Name 2: ________________signature: ______________________ Date: ____________