2023 Registration Form -- Not Using PayPal "*" indicates required fields Contact InformationPlease note: We ask that you submit a separate registration form for each person in your group attending the 2023 convention.Name* First Last Callsign* If registrant has no callsign, enter NC instead.Is this your first time attending a PNW DX Convention?* Yes No Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Meal and Program OptionsNOTE: All pricing in Canadian dollarsMeal and Program Options* Complete Convention and Meal Package - $115.00 A la Carte (choose individual convention options) A la carte Convention ChoicesChoose individual activities -- great for those who can't attend all the events. Saturday Program and General Attendance $30.00Includes Saturday program Saturday Buffet Dinner $55.00Saturday night's banquet offers a variety of choices at the buffet table for all tastes and dietary preferences Sunday Buffet Brunch $30.00A delicious brunch, served buffet-style with an assortment of options at the buffet table Select AllTotal (Canadian dollars) Let us know how you prefer to pay your fees* I will send a cheque/check by mail I will pay fees in person with cash or cheque/check at the convention in August Next StepsAfter you submit the registration form: A copy of this information will be emailed to you for your records. Your registration will not be complete until payment is received by the Orca DX and Contest Club.Make your cheque/cheque payable to: Orca DX and Contest Club Mail payment to: David Shipman, VA7AM, Treasurer1013 Sinclair St.West Vancouver, BCCanada V7V 3W1Covid Policy We must follow the public health policies set by the Province of British Columbia and the hotel's policy in effect at the time of the convention. We expect that every convention attendee will do likewise. Any current BC Ministry of Health or other restrictions in response to COVID-19 can be found at the Province of BC Guidance and Support web page.Cancellation PolicyIf either the Province of British Columbia or the Government of Canada prohibits in-person meetings at the time of the Convention, a full refund of the Convention Fees will be made. Any arrangements you make with the Inn at the Quay (the Convention's hotel) are between you and the hotel. Those things are beyond our control. If you register for the Convention prior to July 1 and then decide not to attend, if requested, we will refund you 50% of your Convention Fees. Δ