Form#MD4conReg2019

“BUONGIORNO, BUONASERA!” Hello, Welcome!

Load up your Gondolas and head up the Sacramento River for The 100th Pride Gathering of California Lions for

Comradeships, Old and New, Lion Business, Entertainment, Education and Lots of Fun at the

California Lions Clubs Multiple District Four Convention

FEBRUARY 8th – 10th, 2019 CLUB _____________________________________________________________SUB-DISTRICT __________________

CURRENTTITLEANDNAME___________________________________________________________________________

NAMEONBADGE___________________________________________________________________________________

ADDRESS__________________________________________________________________________________________

CITY_________________________________________________________________STATE_______ZIP ____________

HOME-PHONE ___________________________________CELL-PHONE_______________________________________

EMAIL____________________________________________________________________________________________

• Thisregistrationisnotvalidwithoutpayment.• Paymentbycheck(ifnothonoreda$25.00feeischarged).• Receiptswillbeavailableinpacketsattimeofregistration.

MAKEHOTELRESERVATIONS*HotelRates:$139pernightplusapplicableroomtaxandcharges.

*Doubletree Hotel (Host Hotel)2001PointWestWay,Sacramento,CA95815(800)686-3775•www.doubletreesacramento.com•CodeforDoubletree(CGC)

*Over flow Hotel: Sacramento Hilton Arden West, 2200HarvardSt.,Sacramento,CA95815(800)-445-8667•(916)922-4700•www.3.hilton.com•CodeforHilton(LionsClubsInternational)

You have the option to book rooms in either of the above Hotels at the current rate. Iftheblocksofroomsatboth the Hotelsarefull,you will need tofindanotherHotelonyourowninthearea.(Thosesubmittingreimbursement,pleasebookatthehosthotels.

Stiamoaspettandoconimpazienzadiincontrareconvoi,viaggiosicuro.Wearelookingforwardtomeetingwithyou,travelsafe.

-------PLEASECOMPLETETHISFORMANDMAILWITHMEALREGISTRATIONFORM(#MD4SAC2019)ANDPAYMENT..

ONEPERSONPERREGISTRATIONFORM..DeadlineforRefund:02/01/2019

Mailto:LionMarjeanO’Neill•7592BethCt.,RohnertPark,CA94928Questions:(707)664-8511•Lionmarjean@gmail.com

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Form#MD4Sac2019

MD4con2019•Feb.8-10“FantasticoAmicizia”“FantasticoGente”

“FantasticFriendship""FantasticPeople”CELEBRATINGTHE100THANNUALCONVENTION

Name,Title,District:__________________________________________________________________________________

SpecialDietNeeds:___________________________________________________________________________________

OneMealFormperperson. Package1 Package2 Package3 ÁLaCarte

Choiceofpackage(datedriven) Postmarked Postmarked advance order by 2/4Paidat conv.

Receivedby

orÁlacarte. by12/31/18 by1/31/19 2/4/19

$320 $340 $355 OnlyForPACKAGEincludesregistration,Pin, and all meals.Pleasecheckyourmealchoice below. ❑ ❑ ❑ ÁLaCarteREGISTRATION(required)CONVENTIONPIN

❑ $70_________❑ $5_________

FRIDAYLEADERSHIPLUNCHEONParmesanArtichokeChicken ❑ ❑ ❑ ❑ $50 _________PomegranateGlazedSalmon ❑ ❑ ❑ ❑ $50 _________DINNER“DinewithaLeader”BaconWrappedChicken&MahiMahi ❑ ❑ ❑ ❑ $69 _________SearedBBQChicken ❑ ❑ ❑ ❑ $69 _________

SATURDAYINTERNATIONALLUNCHEONClassicCobbSalad ❑ ❑ ❑ ❑ $50 _________ChilledBlackenSalmonSalad ❑ ❑ ❑ ❑ $50 _________GOVERNORS’BANQUETDINNERPrimeRibofBeef ❑ ❑ ❑ ❑ $74 _________CrabStuffedSalmon ❑ ❑ ❑ ❑ $74 _________Eggplant&VegetableRatatouilleWellington ❑ ❑ ❑ ❑ $74 _________

SUNDAYBUFFETDoubletreeSunriseBreakfastBuffet ❑ $42 _________

REFUNDDEADLINE:February1,2019 TOTAL __________ __________ _________ TOTAL _________

RegistrationbyMail–Checkpayableto:MD4Convention2019Mailform&checkto:LionMarjeanO’neill,7592BethCt.,RohnertPark,CA94929

RegistrationbyE-mail-Usethisformonly.•Lionmarjean@gmail.com•$5creditcardprocessingfee.Creditcardtype: ❑ MC ❑ Visa ❑ AMEX ❑ Other______________________________

NameonCard: ___________________________________________________________Billingzipcode______________________

CardNumber:________________________________________________ Expirationdate:_______________3digitnum. ________

ContactLionMarjeanO’neill•Call(707)664-8511withanyquestions.

Sendthisformtogetherwiththefilledinregistrationform#MD4conReg2019.…

Foraminuseonly.

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