District 25 Conference Registration

Please Complete the questions below!

Enter Your Name (as it should appear on badge)

If registering for for second member enter their name (as it should appear on badge)

(Badge is not needed for guests that are attending meal events or contest ONLY therefore no name needed)

Enter your Club Name

First Timer YES or NO

Volunteer at Conference YES or NO

Special Meal YES or NO (Will be vegetarian)

Special Needs YES or NO

CONFERENCE REGISTRATION - FULL/TWO-DAY/ONE-DAY

Quantity	Description	Amount
	Full Conference Registration - Full Registration.	$125.00
	Two-Day Pass-Fri/Sat all events (excludes meals)	$60.00
	One-Day Pass-Sat only (education sessions & contest) (excludes meals)	$35.00
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In addition to conference registration, additional event tickets may be purchased for guests. To purchase individual tickets for yourself or other members you must have purchased full registration, two-day pass or one-day pass.
A LA CARTE EVENT TICKETS
	Friday Evening Dinner and Contest+	$35.00
	Saturday Leadership Breakfast+	$20.00
	Saturday Awards Luncheon+	$30.00
	Saturday Evening Dinner and DTM Ceremony+	$35.00
	Saturday Afternoon Contest+	$10.00
	Friday Evening Gallery Seating+	$10.00
	Saturday Luncheon Gallery Seating+	$10.00
	Saturday Evening Gallery Seating+	$10.00
+ Requires either Full, Two-day or One-day Registration *A $3.00 Service Charge is added to all Registrations paid by Credit Card