California South District  Optimist International  
                44th Annual District Convention Registration
                             17-18-19 September 2010   
                                 Holiday Inn Hotel & Suites                     
                                                 1240 South Walnut Street,  Anaheim CA
                                            
(Please print legibly, I really DON”T want to get your information incorrect)

REGISTRANT #1                                                                    

Club Name: _____________________________________________________________________

(Dual Club Members please indicate the club you are representing)

Name/nickname: _______________________________________________

Mailing Address: _______________________________________________

City and Zip code: __________________________ Phone: _____________

Email address: ____________________________________ (can I clearly read this?)

Club/District office NOW held (2009-2010):  _________________________

Club/District office to be held (2010-2011): __________________________

Is this your FIRST District convention as an Optimist?  ___Yes ___NO

Special Meal Needs: _____________________________________________ 

 

REGISTRANT #2

Club Member?  ___Yes ___NO          Friend of Optimism (F.O.O.)?  ___Yes ___NO

Club Name: _____________________________________________________________________

(Dual Club Members please indicate the club you are representing)

Name/nickname: _______________________________________________

Mailing Address: _______________________________________________

City and Zip code: _________________________ Phone: _______________

Email address: ___________________________________ (can I clearly read this?)

Club/District office NOW held (2009-2010):  _________________________

Club/District office to be held (2010-2011): __________________________

Is this your FIRST District convention as an Optimist?  ___Yes ___NO

Special Meal Needs: _____________________________________________

EARLY BIRD REGISTRATION DISCOUNT (Per Member) $5
(Postmarked prior to August 1, 2010) 

CONVENTION RATES
(Postmarked after Aug 15 and Sept 9, 2010 – After Sep 9 pay on site)

Please Complete:

Price

Number

Total Cost

Member Registration (Includes convention packet, meeting room charges, coffee & water, & Saturday Package - breakfast, lunch & mid-morning break)

$70

 

 

Guest Registration

$20

 

 

Friday Dinner Theme Party & Buffet

$40

 

 

Saturday Governors Banquet

$40

 

 

Sunday Breakfast

$20

 

 

Early Bird Discount (paid by Aug 1, 2010)

$-5

 

 

Total

 

 

 

 

Governor Banquet Meal Selection

Member 1

Member 2/Guest

Roast Tri Tip    
Grilled Salmon    
Chicken Florentine    

  (Sept 17-19) at Holiday Inn Hotel & Suites)

If you absolutely can’t register earlier please let me know you will attend so I can have a packet prepared for you!

Please mail Registration form with check (payable to CALSO District Convention) to:

Linda Meyers
CALSO Convention Sec/Treas
2936 Via Del Caballo Blanco
Bonita CA 91902-1916  
calso_convention@cox.net

You will receive “paid” acknowledgement with directions to the Convention site.

REFUNDS
Since we have to meet meal guarantees, no refunds will be made after September 1, 2010- NO EXCEPTIONS!


  
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Website last modified: August 15, 2010