1. Healthcare

Spring 2015 District 65 Conference
Perspective: Roots in the Past, Growth for the Future
DoubleTree by Hilton Hotel Syracuse
6301 State Route 298 │ East Syracuse, NY 13057
Saturday, April 25, 2015 (7:00 am – 9:00 pm)
Individual Rooms:
Room Rate (thru 4/6) = $109 + taxes per night (mention "Toastmasters Conference" for rate)
Conference website (information and to register online): http://www.tmdistrict65conference.org/
Member Information
Member Name & Designation
Curr. District Officer Position (if applicable)
Curr. Club Office
First District Conference?
Club #
Y/N
Club Name
Address
City
State
Phone
Zip
Email
Spouse / Guest Information
Is Your Spouse/Guest a Toastmaster?
Name (w/ designation, if applicable)
Y/N
First District Conference?
Y/N
Club # and Club Name (if applicable)
Registration Fees (Prices Listed Per Person)
FULL CONFERENCE…………….
Partial Conference:
Registration Fee (includes all nonmeal activities and contests)
Welcome Breakfast Buffet
11/15/14
(Fall Conf)
11/16/14 to
04/06/15
04/07/15 to
04/17/15
At the Door:
$115
$125
N/A
N/A
$40
$40
$55
$70
$20
$20
$25
$25
$28
$35
$35
$37
$40
$10
$10
$20
Awards Luncheon
Select (circle): Lavender Chicken, Bistro
Steak, Vegetable Lasagna
International Dinner
Select (circle): Chicken Forestière,
Glazed Salmon, Vegetable Napoleon
Contests ONLY (both)
--Tall Tales & International Speech
Qty
Total
$30
(if available)
$40
(if available)
$45
(if available)
$20
TOTAL AMOUNT:
$_______
Please complete this form with your check made payable to: District 65 Toastmasters
Mail to:
Geri Sullivan │ 8525 Country Club Dr │ Rome, NY 13440-9381
Email: [email protected] │ Phone: 315-243-5867
Spring 2015 Conference Chair: Scott Leonard, DTM │ Email: [email protected]