District 65 Spring Conference
Rochester, NY • MAY 5-6, 2017RADISSON ROCHESTER RIVERSIDE
120 East Main Street, Rochester NY 14604
CLIMBING THE STAIRS TO SUCCESSFeaturing Accredited Speaker Conor Cunnen
ONE REGISTRATION FORM PER PERSON
Until Jan. 31st Feb. 1st—Mar. 15th After Mar. 15thFull Conference + 3 MealsSaturday Breakfast, C&L Luncheon and Dinner Banquet . . . . . . . . . . . . . . . . . . . $125.00 . . . . . . . . . . . . .$130.00 . . . . . . . . . . . . $135.00
Full Conference + 2 MealsSaturday Breakfast, C&L Luncheon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $115.00
Full Conference + 1 MealC&L Luncheon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $80.00
Full Conference, No Meals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.00
Contests Only, No Meals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10.00
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Full conference includes: Keynote, Workshops, Contests & Council Meeting
Contestants do not pay to compete
DINNER OPTIONS
ChickenChef's choice with vegetable of the day
FishChef's choice with vegetable of the day
Vegetable Ratatouille
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Name: ______________________________________ Designation (i.e. CC, CL, ACB, DTM): ______________
Club Name & Number: ________________________
Address: ____________________________________
Telephone: (_____) _______________-_________
City/State/Zip: ______________________________
Email: ___________________________________
Please describe any dietary or physical restrictions you have or require to enjoy the conference:
______________________________________
Text alerts during the conference? o Yes o No
Check and complete if applies to you:
o
o Contestant
o First time attendee of District 65 Conference
Club Officero
(Title)
(Title)
(Contest)
You can register online and pay either by mail (check or money order) or online with a credit card or PayPal at: http://www.tmdistrict65.org
Make check/money order payable to:District 65 Toastmasters
Mail your payment to:Melvie Hall-Bellinger P.O. Box 18440, Rochester, NY 14618 .Payments must be received on or before stated deadlines above. Please allow enough time for mail delivery.
tmdistrict65.org
Banquet ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40.00o
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