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:

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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