Convention Registration Form
Australia District 2015 Convention
Let’s Make History
Host Club – Port Phillip Friday 28 – Saturday 29 August 2015 BellCity 215 Bell Street, Preston, Melbourne, Victoria (www.bellcity.com.au)
Convention Registration Form Name:
Partner Name:
Postal Address:
Postal Address:
Email Address
Email Address:
Phone:
Phone:
Club:
Club:
First Timer
Yes
Delegate Status
No D
LM
First Timer DAL
Yes
Delegate Status
REGISTRATION FUNCTIONS AND MEALS
COST
No D
MEMBER
LM
DAL PARTNER
TOTAL
Fri 28 Aug:
Registration
$60
$ 0.00
Fri 28 Aug:
Welcome Reception
$25
$ 0.00
(N/A to First Timers)
(includes nibbles, first drink, cash bar thereafter) Sat 29 Aug:
Full day
$100
$ 0.00
(includes Breakfast, Morn / Aft tea, Lunch, post meeting drinks) Birthday Party: Sit down 2 course meal, cash bar (Dress: suit or party dress) Additional Guests welcome. No: 0
$65
$65
$ 0.00 Guests SUB TOTAL
$ 0.00 $ 0.00
SUBTOTAL less deposit if applicable TOTAL
$ 0.00
Special Dietary / Access / Other Needs: PAYMENT
the page, just drag it.]
Convention Registration Forms must be accompanied with full payment or emailed after direct deposit. Cheque or Money order to be made payable to “Kiwanis Port Phillip” Electronic Funds Transfer available: KIWANIS CLUB OF PORT PHILLIP INC BSB: 633 000 ACC NO: 1476 03021
(include surname as reference)
Send Registration form and/or payment to: Registration Secretary 42 Settlement Road Belmont, Vic 3216 or [email protected] Enquiries: Jenny and Sam Neumann Ph: 03 5244 1532 (h) or Sam 0400 602 417 or Jenny 0402 268 619 We may not be able to answer during business hours, leave a message and we will return your call. NOTES:
Check the Convention website for updates at www.kiwanis.org.au
Travel to/from venue will be all your own arrangements.
Refund policy: Full refund if booking cancelled before 20 July 2015.
Registration Form 17/03/2015
Book your own accommodation and check with venue for cancellation policy. We have discussed a “Kiwanis Rate” with the venue however better rates may be available on the internet. Please negotiate as best you can.
Caravan Parks
Motels
Mantra Bell City - 4.5 Stars - $149 Manhattan
Melbourne Caravan Park
215 Bell Street, Preston, VIC 3072 t. (03) 9485 1000 f. (03) 9485 0066 e. [email protected] w. www.mantra.com.au/bell-city
265 Elizabeth Street, Coburg, MELBOURNE, 3058 Ph: 03 9353 8222
refer to Mantra Bell City Accommodation Fact Sheet at the
Powered Site (with ensuite)
link above
Unpowered Site
Same site as Convention venues
Cabins - couple
http://www.melbournebig4.com.au/
Bell City BreakFree - 3.5 Stars - $99 King / Queen / Twin 215 Bell Street Preston VIC 3072 t. (03) 9485 1000 f. (03) 9485 0056 e. [email protected] http://www.bellcity.com.au/hotel/breakfree-bell-city/ Same site as Convention venues
Caravan Park
We look forward to welcoming you to the 47th Australia District Kiwanis Convention Registration Form 17/03/2015
Let’s Make History
Host Club – Port Phillip Friday 28 – Saturday 29 August 2015 BellCity 215 Bell Street, Preston, Melbourne, Victoria (www.bellcity.com.au)
Convention Registration Form Name:
Partner Name:
Postal Address:
Postal Address:
Email Address
Email Address:
Phone:
Phone:
Club:
Club:
First Timer
Yes
Delegate Status
No D
LM
First Timer DAL
Yes
Delegate Status
REGISTRATION FUNCTIONS AND MEALS
COST
No D
MEMBER
LM
DAL PARTNER
TOTAL
Fri 28 Aug:
Registration
$60
$ 0.00
Fri 28 Aug:
Welcome Reception
$25
$ 0.00
(N/A to First Timers)
(includes nibbles, first drink, cash bar thereafter) Sat 29 Aug:
Full day
$100
$ 0.00
(includes Breakfast, Morn / Aft tea, Lunch, post meeting drinks) Birthday Party: Sit down 2 course meal, cash bar (Dress: suit or party dress) Additional Guests welcome. No: 0
$65
$65
$ 0.00 Guests SUB TOTAL
$ 0.00 $ 0.00
SUBTOTAL less deposit if applicable TOTAL
$ 0.00
Special Dietary / Access / Other Needs: PAYMENT
the page, just drag it.]
Convention Registration Forms must be accompanied with full payment or emailed after direct deposit. Cheque or Money order to be made payable to “Kiwanis Port Phillip” Electronic Funds Transfer available: KIWANIS CLUB OF PORT PHILLIP INC BSB: 633 000 ACC NO: 1476 03021
(include surname as reference)
Send Registration form and/or payment to: Registration Secretary 42 Settlement Road Belmont, Vic 3216 or [email protected] Enquiries: Jenny and Sam Neumann Ph: 03 5244 1532 (h) or Sam 0400 602 417 or Jenny 0402 268 619 We may not be able to answer during business hours, leave a message and we will return your call. NOTES:
Check the Convention website for updates at www.kiwanis.org.au
Travel to/from venue will be all your own arrangements.
Refund policy: Full refund if booking cancelled before 20 July 2015.
Registration Form 17/03/2015
Book your own accommodation and check with venue for cancellation policy. We have discussed a “Kiwanis Rate” with the venue however better rates may be available on the internet. Please negotiate as best you can.
Caravan Parks
Motels
Mantra Bell City - 4.5 Stars - $149 Manhattan
Melbourne Caravan Park
215 Bell Street, Preston, VIC 3072 t. (03) 9485 1000 f. (03) 9485 0066 e. [email protected] w. www.mantra.com.au/bell-city
265 Elizabeth Street, Coburg, MELBOURNE, 3058 Ph: 03 9353 8222
refer to Mantra Bell City Accommodation Fact Sheet at the
Powered Site (with ensuite)
link above
Unpowered Site
Same site as Convention venues
Cabins - couple
http://www.melbournebig4.com.au/
Bell City BreakFree - 3.5 Stars - $99 King / Queen / Twin 215 Bell Street Preston VIC 3072 t. (03) 9485 1000 f. (03) 9485 0056 e. [email protected] http://www.bellcity.com.au/hotel/breakfree-bell-city/ Same site as Convention venues
Caravan Park
We look forward to welcoming you to the 47th Australia District Kiwanis Convention Registration Form 17/03/2015
