SOUTHWEST DISTRICT OF KIWANIS INTERNATIONAL
SOUTHWEST DISTRICT OF KIWANIS INTERNATIONAL A CENTURY OF SERVING KIDS
DISTRICT CONVENTION - TEMPE MISSION PALMS - TEMPE, AZ AUGUST 4-6, 2017 REGISTER ONLINE AT SWDKIWANIS.ORG NAME________________________________________
GUEST________________________________________
CLUB________________________________________
DO YOU HAVE A DIETARY REQUIREMENT? ___________
BEST PHONE NUMBER___________________________
EMAIL_________________________________________
FIRST NAME ON YOUR NAME BADGE____________________
IS THIS YOUR FIRST KIWANIS CONVENTION YES NO
REGISTRATION FEE DETERMINED BY POSTMARK OR TIMESTAMP EARLY BIRD MAY 1 TO MAY 31 $135.00 | JUNE 1 TO JUNE 30 $145.00 | JULY 1 TO AUGUST 5 $155.00 Mid-Year Credit Valid Only on Early Bird Price FULL PAYMENT INCLUDES: FRIDAY GOVERNOR’S RECEPTION, BOARD FAREWELL BANQUET SATURDAY LUNCH AND SATURDAY 2017-2018 BOARD INAUGURAL BANQUET
NUMBER OF FULL REGISTRATIONS
__________x $________ =$__________
MID-YEAR CODE__________
A la Carte Prices: WORKSHOPS
__________x $20.00
=$__________
FRIDAY RECEPTION
__________x $17.00
=$__________
FRIDAY BANQUET
__________x $54.00
=$__________
SATURDAY LUNCH
__________x $29.00
=$__________
SATURDAY BANQUET
__________x $54.00
=$__________
SWD FOUNDATION COMEDY SHOW BENEFIT (THUR) __________x $25.00
=$__________
ROADRUNNERS BREAKFAST
__________x $30.00
=$__________
ROADRUNNERS DUES
__________x $25.00
=$__________
TOTAL $___________
REGISTRATION REQUIRES PAYMENT TO BE PROCESSED; REGISTRATION FEE DOES NOT INCLUDE ACCOMMODATIONS (See Below) CHECKS MADE PAYABLE TO: SOUTHWEST DISTRICT OF KIWANIS
FORM AND FUNDS TO: SWD KIWANIS PO BOX 9678 SANTA FE, NM 87504 CREDIT CARD, SQUARE or VENMO PAYMENT call
888.974.3403 or [email protected] ELECTRONIC REGISTRATION PREFERRED ELECTRONIC PAYMENT PREFERRED
To reduce convention costs, SWD had to GUARANTEE a block of hotel rooms.
ALL KIWANIANS ATTENDING ARE ENCOURAGED TO BOOK A ROOM AT TEMPE MISSION PALMS, PARKING INCLUDED.
Refund Policy: Refund Requests in writing to: POB 9678 SFNM 87504 or [email protected], Eighty percent (80%) for request received by July 10, 2017 11:59 PM MST. Fifty percent (50%) for request received on or after July 11th to July 28 11:59 PM MST. NO refunds on or after July 29, 2017. Refunds will be processed after the convention
TEMPE MISSION PALMS | 60 E 5th St, Tempe, AZ 85281 | 480.894.1400 SWD Kiwanis Special Rate $95.00 + Tax Per Night Single/Double ROOMS CLICK HERE | 800-547-8705 Code 2U48RT
DISTRICT CONVENTION - TEMPE MISSION PALMS - TEMPE, AZ AUGUST 4-6, 2017 REGISTER ONLINE AT SWDKIWANIS.ORG NAME________________________________________
GUEST________________________________________
CLUB________________________________________
DO YOU HAVE A DIETARY REQUIREMENT? ___________
BEST PHONE NUMBER___________________________
EMAIL_________________________________________
FIRST NAME ON YOUR NAME BADGE____________________
IS THIS YOUR FIRST KIWANIS CONVENTION YES NO
REGISTRATION FEE DETERMINED BY POSTMARK OR TIMESTAMP EARLY BIRD MAY 1 TO MAY 31 $135.00 | JUNE 1 TO JUNE 30 $145.00 | JULY 1 TO AUGUST 5 $155.00 Mid-Year Credit Valid Only on Early Bird Price FULL PAYMENT INCLUDES: FRIDAY GOVERNOR’S RECEPTION, BOARD FAREWELL BANQUET SATURDAY LUNCH AND SATURDAY 2017-2018 BOARD INAUGURAL BANQUET
NUMBER OF FULL REGISTRATIONS
__________x $________ =$__________
MID-YEAR CODE__________
A la Carte Prices: WORKSHOPS
__________x $20.00
=$__________
FRIDAY RECEPTION
__________x $17.00
=$__________
FRIDAY BANQUET
__________x $54.00
=$__________
SATURDAY LUNCH
__________x $29.00
=$__________
SATURDAY BANQUET
__________x $54.00
=$__________
SWD FOUNDATION COMEDY SHOW BENEFIT (THUR) __________x $25.00
=$__________
ROADRUNNERS BREAKFAST
__________x $30.00
=$__________
ROADRUNNERS DUES
__________x $25.00
=$__________
TOTAL $___________
REGISTRATION REQUIRES PAYMENT TO BE PROCESSED; REGISTRATION FEE DOES NOT INCLUDE ACCOMMODATIONS (See Below) CHECKS MADE PAYABLE TO: SOUTHWEST DISTRICT OF KIWANIS
FORM AND FUNDS TO: SWD KIWANIS PO BOX 9678 SANTA FE, NM 87504 CREDIT CARD, SQUARE or VENMO PAYMENT call
888.974.3403 or [email protected] ELECTRONIC REGISTRATION PREFERRED ELECTRONIC PAYMENT PREFERRED
To reduce convention costs, SWD had to GUARANTEE a block of hotel rooms.
ALL KIWANIANS ATTENDING ARE ENCOURAGED TO BOOK A ROOM AT TEMPE MISSION PALMS, PARKING INCLUDED.
Refund Policy: Refund Requests in writing to: POB 9678 SFNM 87504 or [email protected], Eighty percent (80%) for request received by July 10, 2017 11:59 PM MST. Fifty percent (50%) for request received on or after July 11th to July 28 11:59 PM MST. NO refunds on or after July 29, 2017. Refunds will be processed after the convention
TEMPE MISSION PALMS | 60 E 5th St, Tempe, AZ 85281 | 480.894.1400 SWD Kiwanis Special Rate $95.00 + Tax Per Night Single/Double ROOMS CLICK HERE | 800-547-8705 Code 2U48RT
