Your Registration is not complete until you select the link in PayPal to return to Merchant!
For registration for the Streaming Session Only, Please see the highlighted section below.

Your Name:
First or Given Last or Family
Callsign: Name on Badge:
Email:Telephone:
City: State/Country: Zip/Postal Code:

Seminar: @$40 Banquet: @$35
Callsign or Guest/XYL Seminar $40.00 Banquet $35.00
Name:
First or Given Last or Family Call or XYL: Seminar: Banquet:

First or Given Last or Family Call or XYL: Seminar: Banquet:
First or Given Last or Family Call or XYL: Seminar: Banquet:

This online hotel registration only good through April 19


| Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
Check bed required: 1 Bed: 2 Beds:
Your Registration is not complete until you select the link in PayPal to return to site!
For requesting a link to view the Live Stream, Please complete this Streaming Section of this form.
Instructions will be sent to you just prior to the event.
Streaming not allowed while attending live.


Your Name:
First or Given   
Last or Family
Email:
Telephone:

       Streaming Seminar: $10
To add a Printed Proceedings $15

 

List of area hotels
Plan to Stay at Holiday Inn?
FDIM Block Rate $156.00 per night (includes breakfast).
The discounted rate requires a one night deposit.
Three night minimum with a required Saturday Night stay over.

Our Room Block will expire on April 19th.
So if you want a room at HI Fairborn

After April 19, you will need to contact the hotel front desk direct 1-937-426-7800 and ask for the FDIM(QRP) rate. It may not be available.

One night will be guaranteed with your credit card. Special Instructions: Please check the nights you wish to stay.
Check the type of Bed/s. We will forward this information to the Hotel and they will assign a confirmation number. Once this is done,
you will receive a note with your confirmation number (generally 7 days). You should contact the hotel with your credit card information within 7 days
of receiving the confirmation number. Rooms not confirmed with credit card will be canceled and made available for reassignment.

ONLY registrations WITH On-Site Seminar and/or Banquet registration will be processed for the hotels.

  For the latest FDIM information, please visit http://www.qrparci.org Questions, please contact Norm, WA4ZXV at fdim@qrparci.org
BE SURE TO CLICK ON THE RETURN TO MERCHANT LINK IN PAYPAL TO PROCESS YOUR REQUEST

BE SURE TO CLICK ON THE RETURN TO MERCHANT LINK IN PAYPAL TO PROCESS YOUR REQUEST