5m6 2018 convention registration- individual word - 5m6 2018 convention registration-...
TRANSCRIPT
PleasePrint
Lion Lioness Guest Lion Lioness Guest
NAME:_______________________________________NAME:________________________________________ADDRESS:____________________________________ADDRESS:______________________________________CITY:_________________STATE/PROV/ZIP:____________CITY:___________________STATE/PROV/ZIP:___________
EMAIL:___________________________________________EMAIL:________________________________________________
CLUB:________________________________________CLUB:_______________________________________________
Checkifthisisyourfirst5M6Convention Checkifthisisyourfirst5M6Convention
Pleasespecifyanydietaryneeds___________________Pleasespecifyanydietaryneeds___________________
Check #
*Meal registrations submitted on or after January 2nd, 2018 will not be accepted.OnlineregistrationbeginsOctober14th,2017.Ifyouchoosetopayviacreditcard,pleaseusetheonlineregistrationlink:https://lions5m6midwinter2018.eventbrite.com
Youcanalsomailthisregistrationformandcheckascalculatedinthelastcolumn, payabletoDistrict5M6LCI.Pleaseemailyourquestionsaboutregistrationand/ormailinginstructionstoPDGJoeFoxatfoxxx012@[email protected].
CancellationsacceptedandrefundedpriortoDecember31,2017witha$20.00feeforcancellations.
SEESEPARATEFORMFORAVAILABLEHOTELROOMSANDRATES
MEAL
BEFOREDecember15,2017Payment
withCHECK
BEFOREDecember15,
2017PaymentwithCREDITCARD
ONORAFTERDecember16,
2017CHECK
ONORAFTERDecember16,
2017CREDITCARD
NUMBER
ATTENDING
AMOUNT
HOSPITALITYBOOK
USD:$90
USD:$95.94 USD:$110 USD:$117.04
PRESIDENT’SLUNCHEONSATURDAY
USD:$30
USD:$32.64 USD:$40 USD:$43.19
GOVENOR’SBANQUETSATURDAY
USD:$40
USD:$43.19 USD:$50 USD:$53.74
SUNDAYBRUNCH
USD:$30
USD:$32.64 USD:$40 USD:$43.19
Yes,Iamcomingtotheconventionbutnot
stayingforanyofthemeals. TOTAL
Leo Leo
District5M-6
40thAnnualMid-WinterConventionJanuary5,6,7,2018
MinneapolisAirportMarriottHotelINDIVIDUAL
REGISTRATIONFORM