Fall Conference registration

Toastmasters District 58

Fall Conference Registration

Sign up for: Price Full Sat. Ed. & Ed. & Only Lunch Dinner ___ Registration $10.00 X X X X ___ Mastercrafters $26.00 X ___ Breakfast $13.00 X X ___ Lunch $16.00 X X X ___ Dinner $28.00 X X X Total $93.00 $67.00 $26.00 $38.00 20% Early Registration Discount $18.00 $12.00 $ 5.00 $ 7.00 Early Discounted Registration $75.00 $55.00 $21.00 $31.00

Name:__________________________________________
Address:________________________________________
_______________________________________________
Phone:__________________________________________
Club:___________________________________________
Regisration:
Full_________ Sat. Only________ Ed. & Lunch______ Ed. & Dinner_____
Total enclosed:_______________
Make checks payable to District 58. Send to:

District 58 Treasurer
Francis Lee
252 Winfield Drive
Spartanburg, SC 29307

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