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 Thursday evening reception, Friday breakfast, and Friday's evening dinner event.
Member Registration: $250 # = $
Spouse or Guest $175 # = $
Children (18 or under) $125 # = $
Number going to Friday 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)