Please fill out a form for each member and their family and click submit to email form
or print scan and email to dkkapa@aol.com.
Name Company
Family members/others
Phone
Please record the number including yourself attending the various activities: Fees include Wednesday evening reception, Thursday breakfast, and Thursday evening dinner event.
Member Registration: $299 # = $
Spouse or Guest $199 # = $
Children (12 or under) $150 # = $
No charge for 4 and younger
Number going to Thursday Evening Event
Total $
Make check payable to: Kansas Asphalt Pavement Association
Send To: KAPA
2813 SW Westport Plaza Drive
Topeka, KS 66614
Return by July 1
(all fees non refundable after June 30th)