District 27 Fall Conference
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District 27 Fall Conference
Saturday, November 14, 2009
7:00 am - Registration begins 8:00 am - First Timers Welcome 8:30 am - Conference starts
Hilton Garden Inn 3950 Fair Ridge Drive Fairfax VA 22033
REGISTRATION FORM Contact Information: Name: Telephone:
Mobile:
Email: Is this your first time attending a District 27 Conference?
Yes
No
Club Information: Home Club: Club Number:
Area:
Division:
District:
District You are Representing (if not District 27):
Educational Attainment: CC
ACB
ACS
ACG
CL
ALB
ALS
DTM
Contestant Information: Are you a contestant? If yes, answer question below. Which contest are you entered in?
Yes
Humorous Speech Contest
No Table Topics Contest
Cost and Payment Information: Registration with Buffet Luncheon
$75.00
Mail Check to:
Registration without Buffet Luncheon Late Registration Fee (after Oct 24)
$15.00
$40.00 $15.00
Total Cost:
$ _____
$ _____
Payment Also Available via PayPal at the District Website: http://www.d27tm.org/conferences/
Ms. Joanie Stancil 12850 Hunterbrook Drive Woodbridge, VA 22192-6594 Make Check Payable to: District 27 Fall Conference
Questions About the Conference or Registration: Ms. Carolyn Buttolph, Conference Chair Phone: 703-242-6681 Email: [email protected]
Ms. Joanie Stancil, Registration Phone: 703-862-5277 Email: [email protected]
Theme: CLOSING THE CIRCLE – Following the path of leaders… and of course the District 27 theme of JOIN US ON THE PATH TO TOASTMASTERY.
Saturday, November 14, 2009
7:00 am - Registration begins 8:00 am - First Timers Welcome 8:30 am - Conference starts
Hilton Garden Inn 3950 Fair Ridge Drive Fairfax VA 22033
REGISTRATION FORM Contact Information: Name: Telephone:
Mobile:
Email: Is this your first time attending a District 27 Conference?
Yes
No
Club Information: Home Club: Club Number:
Area:
Division:
District:
District You are Representing (if not District 27):
Educational Attainment: CC
ACB
ACS
ACG
CL
ALB
ALS
DTM
Contestant Information: Are you a contestant? If yes, answer question below. Which contest are you entered in?
Yes
Humorous Speech Contest
No Table Topics Contest
Cost and Payment Information: Registration with Buffet Luncheon
$75.00
Mail Check to:
Registration without Buffet Luncheon Late Registration Fee (after Oct 24)
$15.00
$40.00 $15.00
Total Cost:
$ _____
$ _____
Payment Also Available via PayPal at the District Website: http://www.d27tm.org/conferences/
Ms. Joanie Stancil 12850 Hunterbrook Drive Woodbridge, VA 22192-6594 Make Check Payable to: District 27 Fall Conference
Questions About the Conference or Registration: Ms. Carolyn Buttolph, Conference Chair Phone: 703-242-6681 Email: [email protected]
Ms. Joanie Stancil, Registration Phone: 703-862-5277 Email: [email protected]
Theme: CLOSING THE CIRCLE – Following the path of leaders… and of course the District 27 theme of JOIN US ON THE PATH TO TOASTMASTERY.
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