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Follow the Yellow Brick Road
Your Pathway to SuccessMay 3 & 4, 2019
CanadInn – 1792 Pembina HighwayPROMO CODE FOR ROOMS: ($119/nite)
DISTRICT 64 SPRING CONVENTION - REGISTRATION FORM – Pre Conference Pricing Expires April 6
Name_________________________________________________ _________________________________ Toastmaster Designation Club(s): ____________________________________________________________________________________
Current District or International Position________________________________________________________
Phone_________________________
Email___________________________________________________________
Address____________________________________________________________________________________ Street City Prov/ State Postal/Zip Code
Past District Governor? If yes, year___________Past International Offices Held/year(s) ____________
First Timer: _____________
Dietary Restrictions:
Vegan/Vegetarian ________ Nuts ________ Seafood ________
Gluten Free ________ Dairy ________ Other ___________
Pre Conference Special – until April 6th only: $140.00 eTransfer/Cheque/Cash or $145.00 PayPal - Go to http://www.district64.ca/index.php/events/spring-convention and click on the Add to Cart button.
Method of Payment: Cheque _______ Cash _________ eTransfer __________ PayPal ___________ If you are paying by eTransfer, instructions will be emailed to you. Please make all checks payable to District 64 Spring Conference
Send registration form (and payment if applicable) to: Michael & Barb Bayer D64 Spring Convention Co-Chairs. 33 Humber Road Winnipeg, Manitoba R2J 1L7
By registering for this conference, I authorize District 64 to use and publish any of the images taken of me during this event. I understand these images may be used for a variety of Toastmasters related purposes. I am aware that I am not entitled to any compensation and that the images may appear with or without my club’s name. I agree to accept emails from time to time advising me of Conference News and Announcements.
I would like to volunteer to help at the convention