Rotary District 9550 Conference 2010 Booking Form   April 30th to 2nd of May 2010, Townsville

Please fill in your details using the form below, then click the Make Booking button to proceed. Please note this form is only for bookings for 1 Rotarian and their Partner. If you want to make bookings for more please use the form as many times as necessary.

Registration up to 28th February 2010 entitles you to the Early-bird Rate.

Booking Details
Please enter the personal details of the person making the booking
Category:	Assistant Governor District Chair District Committee District Governor Guest Partner Past District Governor President President Elect Rotarian Secretary Secretary Elect
First Name:	*
Last Name:	*
Partner First Name:
Partner Last Name:
Partner Category:	Assistant Governor District Chair District Committee District Governor Guest Partner Past District Governor President President Elect Rotarian Secretary Secretary Elect
Rotary Club:
District:
Home Phone:	* please enter either your home or mobile number
Mobile Phone:	*
Street:
Town / Suburb:
Postcode:
Email:	*
Special Requirements:	please enter any special access or dietary requirements
Please enter the number of people attending each event. The total price will be calculated on the next screen. You must book for either the Conference on Saturday or Sunday, or the Conference Dinner
	Early Bird Price Normal Price
Aquarium Friday:	0 1 2 numbers only, payment done at venue
Welcome Civic Reception Friday:	Friday Civic Reception is Fully Booked
Conference Program Saturday:	0 1 2 $35.00 $45.00
Conference Program Sunday:	0 1 2 $35.00 $45.00
Conference Dinner:	0 1 2 $92.00 $98.00 Limited to 1st 180 bookings
Sunday Breakfast:	Sunday Breakfast is Fully Booked
Partner's Function:	0 1 2   $30.00
	Please check your booking carefully as it cannot be changed once you click the Make Booking button.

For more information on the District 9550 Conference please visit our web site http://www.d9550conference.org.au