ONLINE REGISTRATION

All Toastmaster Members attending any conference event must register on a separate form and purchase a registration option.

(Hotel reservations for the Hyatt Hotel should be made separately.)

FIRST NAME

LAST NAME

STREET ADDRESS

CITY

STATE

ALAKAS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY <\SELECT>

ZIP CODE

DAYTIME PHONE

EVENING PHONE

EMAIL ADDRESS

HOME CLUB NAME

NUMBER

TOASTMASTERS EDUCATION LEVEL

CC AC ACB ACS ACG DTM CTM ATM ATMB ATMS ATMG <\SELECT>     CL AL ALB ALS <\SELECT>

CURRENT CLUB OFFICE HELD (IF APPLICABLE)

President VP Education VP Membership VP Public Relations Secretary Treasurer Sergeant at Arms <\SELECT>

CURRENT DISTRICT OFFICE HELD (IF APPLICABLE)

This is my FIRST TIME at a Conference

I prefer Vegetarian meals, please

I’d like to Volunteer at the Conference

COMMENTS

FULL CONFERENCE REGISTRATION

Full Conference Registration package allows you to attend the entire event, and includes:

¨      Conference Registration

¨      Friday Evening Banquet & Table Topics Contest

¨      Saturday Breakfast & Keynote

¨      Saturday Educational Sessions & Afternoon Keynote

¨      Saturday Hall of Fame Luncheon

¨      Saturday Evening Banquet & International Speech Contest

$119.00

SATURDAY-ONLY CONFERENCE REGISTRATION

¨      Conference Registration

¨      Saturday Breakfast & Keynote

¨      Saturday Educational Sessions & Afternoon Keynote

¨      Saturday Hall of Fame Luncheon

¨      Saturday Evening Banquet & Humorous Speech Contest

$ 99.00

A LA CARTE CONFERENCE REGISTRATION

A la carte Conference Registration is required if you do NOT purchase either option above.  Event tickets are not included and must be purchased separately (see below).

$ 10.00

( 0 1 2 3 4 5 6 7 8 9 <\SELECT> S) ( 0 1 2 3 4 5 6 7 8 9 <\SELECT> M) ( 0 1 2 3 4 5 6 7 8 9 <\SELECT> L) ( 0 1 2 3 4 5 6 7 8 9 <\SELECT> XL) ( 0 1 2 3 4 5 6 7 8 9 <\SELECT> 2XL) ( 0 1 2 3 4 5 6 7 8 9 <\SELECT> 3XL) ( 0 1 2 3 4 5 6 7 8 9 <\SELECT> 4XL)

$ 0.00

CONFERENCE EVENT TICKETS (sold separately)

You must be registered (by one of the 3 options above) to purchase any additional event tickets.  You may purchase event tickets for yourself and any non-Toastmasters guests.  (Guests holding event tickets, but no registration option, may not attend any other conference event.)  All Toastmasters members attending any conference event must register on a separate form and purchase a registration option.

Event

Quantity

x Ticket Price

= Total

Friday Evening Banquet & Evaluation Contest

$ 35.00

$ 0.00

Saturday Breakfast & Keynote

$ 20.00

$ 0.00

Saturday Educational Sessions & Afternoon Keynote

$ 15.00

$ 0.00

Saturday Hall of Fame Luncheon

$ 30.00

$ 0.00

Saturday Evening Banquet & International Speech Contest

$ 40.00

$ 0.00

Total

$ 0.00

Registration Option Total

$ 0.00

A La Carte Option Total

$ 0.00

Late Registration Fee (after 05/04/08)

$ 0.00

Total Purchase

$ 0.00

PayPal Fee

$ 0.00

Grand Total

$ 0.00