Cedar Rapids Convention Registration via PayPal

Fill out the information below. After completing this form, you will be directed to the PayPal site to complete the transaction with your credit card.

Per person conference fee:
Members $62
Non Members $82 (you will receive a 1 year membership in the CCA for the additional $20)
Spouse $32

Name of Person Making Reservation
Callsign
Membership Number if applicable
Number of member tickets x $62.00 each
Number of non-member tickets x $82.00 each
Spouse Ticket x $32.00 each
Your Total $62.00 USD
Your Hometown
- Additional persons you are registering for -
Name
Callsign
Hometown
Name
Callsign
Hometown
Name
Callsign
Hometown

- Please double check the information above -