2022 Registration Form -- 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 2022 convention.Name* First Last Callsign* If registrant has no callsign, enter NC instead.Is this your 1st 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Meal and Program OptionsNOTE: All pricing in U.S. dollarsMeal and Program Options* Complete Convention and Meal Package - $125.00 Ala Carte (choose individual convention options) Besides the Dinner meal selection below, the complete registration package includes a Sunday plated Brunch, Caramel & Apple Pancakes with Maple Cream and Smoked Bacon. a la carte Convention ChoicesChoose individual activities -- great for those who can't attend all the events. Saturday Programs Only $50.00Includes Saturday program and one ticket for the door prize draw Saturday Banquet $62.00Saturday night's banquet is offering two choices, Roasted Chicken Breast or Pacific Chinook King Salmon Sunday Brunch $30.00We have a nice plated Brunch - Caramel & Apple Pancakes with Maple Cream and Smoked Bacon Select AllSaturday Night Banquet Meal Choice (only if attending dinner)* Roasted Chicken Breast with Tarragon Jus Pacific Chinook King Salmon with Horseradish Cream Banquet meals come with a Caesar salad with cut romaine, olive oil croutons, and Parmesan cheese. Desert will be Creme BruleeTotal (U.S. dollars) Next StepsAfter you submit the registration form: A copy of this information will be emailed to you for your records. You will be directed to PayPal for online payment. Your registration will not be complete until payment is received by the Spokane DX Association. Covid Policy We must follow the state of Washington Mask Policy and the hotel's policy in effect at the time of the convention. We expect that every convention attendee will do likewise. The current Washington State policy can be found at the Washington DOH Web Site.Cancellation PolicyIf either the state of Washington or the Federal Government 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 Centennial (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 you decide to not attend, if requested, we will refund you 50% of your Convention Fees. Δ
