Attendee Information First Name: Last Name: Scene Name: Email Address: PLA Member ID (if applicable): Click here to have your member ID emailed to you Phone Number: Date of Birth: --Month-- January February March April May June July August September October November December , --Day-- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 --Year-- 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Address 1: Address 2: City: State/Province Postal Code: Country: Andorra United Arab Emirates Afghanistan Antigua and Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Antarctica Argentina American Samoa Austria Australia Aruba Azerbaidjan Bosnia-Herzegovina Barbados Bangladesh Belgium Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Canada Cocos (Keeling) Islands Central African Republic Congo Switzerland Ivory Coast (Cote D'Ivoire) Cook Islands Chile Cameroon China Colombia Costa Rica Cuba Cape Verde Christmas Island Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Spain Ethiopia Finland Fiji Falkland Islands Micronesia Faroe Islands France France (European Territory) Gabon Great Britain / United Kingdom Grenada Georgia French Guyana Ghana Gibraltar Greenland Gambia Guinea Guadeloupe (French) Equatorial Guinea Greece S. Georgia & S. Sandwich Isls. Guatemala Guam (USA) Guinea Bissau Guyana Hong Kong Heard and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Ireland Israel India British Indian Ocean Territory Iraq Iran Iceland Italy Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts & Nevis Anguilla North Korea South Korea Kuwait Cayman Islands Kazakhstan Laos Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Luxembourg Latvia Libya Morocco Monaco Moldavia Madagascar Marshall Islands USA Military Macedonia Mali Myanmar Mongolia Macau Northern Mariana Islands Martinique (French) Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia (French) Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Neutral Zone Niue New Zealand Oman Panama Peru Polynesia (French) Papua New Guinea Philippines Pakistan Poland Saint Pierre and Miquelon Pitcairn Island Puerto Rico Portugal Palau Paraguay Qatar Reunion (French) Romania Russian Federation Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore Saint Helena Slovenia Svalbard and Jan Mayen Islands Slovak Republic Sierra Leone San Marino Senegal Somalia Suriname Saint Tome (Sao Tome) and Principe Former USSR El Salvador Syria Swaziland Turks and Caicos Islands Chad French Southern Territories Togo Thailand Tadjikistan Tokelau Turkmenistan Tunisia Tonga East Timor Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda USA Minor Outlying Islands United States Uruguay Uzbekistan Vatican City State Saint Vincent & Grenadines Venezuela Virgin Islands (British) Virgin Islands (USA) Vietnam Vanuatu Wallis and Futuna Islands Samoa Yemen Mayotte Yugoslavia South Africa Zambia Zaire Zimbabwe Registration Code (if applicable): Registration Registrations Registration - PLA Member Plus Registration - PLA Member Plus $170.00 Become a PLA Member now for $10, and save $25 as a PLA member. Registration - PLA Member $160.00 Current PLA Members save $25. Registration - Reciprocal Organizations Requires valid registration code If you are a member of a qualifying reciprocal organization, you save $25. Registration - Community Groups Requires valid registration code If you are a member of a qualifying community group, you save $10. Registration - Standard $185.00 KinkFest registration. Day Passes Registration - Day Pass for Friday, March 21st only. $80.00 Registration - Workshops, Party, and Vendor Mall Pass for Friday, March 21st only. Registration - Day Pass for Saturday, March 22nd only. $100.00 Registration - Workshops, Party, and Vendor Mall Pass for Saturday, March 22nd only. Registration - Day Pass for Sunday, March 23rd only. $80.00 Registration - Workshops, Party, and Vendor Mall Pass for Sunday, March 23rd only. Vendor Mall Day Passes Registration - Vendor Mall Day Pass for Saturday, March 22nd and Sunday, March 23rd. $15.00 Registration - Vendor Mall Day Pass for Saturday, March 22nd and Sunday, March 23rd. Presenter Registrations Registration - Presenter Requires valid registration code Registration - Presenter Work-Study Registrations Registration - Work-Study - Full Requires valid registration code Registration - Work-Study - Full Registration - Work-Study - Partial Requires valid registration code Registration - Work-Study - Partial Special Registrations Registration - Special Requires valid registration code Registration - Special Vendor Registrations Registration - Vendor Requires valid registration code Registration - Vendor Registration - Vendor Assistant Requires valid registration code Registration - Vendor Assistant Vendor Options Quantity: $88.00 Registration - Vendor Booth Electricty Quantity: $20.00 Registration - Vendor Booth Extra Table KinkFest Work Study Fund Donations Quantity: $10.00 KinkFest Work Study Fund Donation Quantity: $25.00 KinkFest Work Study Fund Donation Quantity: $100.00 KinkFest Work Study Fund Donation Quantity: $200.00 KinkFest Work Study Fund Donation
The PLA has established a KinkFest Work Study fund to enable more volunteers to help out with KinkFest. This fund will cover either half or all of the registration so that more volunteers may attend KinkFest. Your donations are tax deductable to the extent allowed by law.
For more information, or to donate a different amount contact KF Work Study Fund Leather Dinner Registration Please complete registration information at the top of this form after making your meal selections. Leather Dinner Quantity: $40.00 Registration Leather Dinner - (Gluten-Free, Dairy-Free, Vegan) Quantity: $40.00 Registration Leather Dinner - Beef Quantity: $40.00 Registration Leather Dinner - Chicken
Please join us for the third annual KinkFest Formal Leather Dinner - Saturday, March 22nd, 2014.
This event will be a memorable occasion to come together and celebrate our Leather Community. We encourage you to wear your best street-legal leather, latex, fetish or formal wear and share the special and historical evening with us. All are welcome.
In addition to a no-host bar, beverages include freshly brewed coffee, decaffeinated coffee, and hot tea.
This dinner will be held at the Red Lion Inn at the Convention Center. Admission to the dinner is $40 per person and is open to both KinkFest attendees and the community at large; you do not have to register for KinkFest in order to attend the Leather Dinner. Space is limited and will be allocated on a first-come, first-served basis. Tickets are available on the KinkFest website (www.kinkfest.org) on the registration page and must be purchased no later than March 15, 2014.
Doors open at 6:30 p.m. No-Host Bar Available. Dinner begins at 7:00 p.m. sharp. We look forward to seeing you there!