District 31 Fall 2009 Conference Registration
Fill out this form to pre-register. Unless you intend to pay at the door, you'll also need to mail a check to the Conference Registration Chair. Your payment must be postmarked by the dates indicated above in order to take advantage of Early Bird prices! Payment details are below.

Contact Information:
First name: Last name:
Address: Home phone:
City, State, Zip: Work phone:
Email address: Cell phone:

Toastmasters Achievement Level and Club Information:
Your achievement level: CTM/CC      ATM/AC      CL      AL      DTM     
Information about your club(s):

Conference Information
Is this your first conference? No      Yes     
Would you like to volunteer to help? No      Yes     
Are you a contestant? No      Yes     
Which of these sessions do you plan to attend?
Morning Sessions (10:40-11:30)
Leveraging Toastmasters for Career and Organizational Success (Richard T. Karon)
Mentoring Magic: Retain members with a successful mentoring program. (Mindy Milman)
Creating You from the inside out (Gina Colvario Krupka)
Business Meeting / Evaluation-a-Thon (1:00-2:00)
Note: if you are a District Officer, a Club President or VP Education, or you hold a proxy, you are required to attend the Business Meeting.
I plan to attend the Business Meeting
I plan to attend the Evaluation-a-Thon
If you would like to give a speech at the Evaluation-a-Thon, please indicate the speech name, manual, and project number:
Afternoon Sessions (2:10-3:00)
The Longest Journey Known to Mankind. Connecting your Head to your Heart. (Kevin Murphy)
Overcoming Adversity: How to live an inspired life. (Dennis Coppola)
Synergistic Team Building (Elizabeth Benson)
Meal choice: (for full registration only) Chicken
Vegetarian
Gluten Free
None

Registration Options
Your payment must be postmarked by the dates indicated above in order to take advantage of Early Bird prices.
Full Registration (not including Fun Night)
Pay by October 28 $55
Pay by October 31 $60
Pay after October 31 or at the door $65
Humorous Speech Contest Only
Pay by October 28 $15
Pay after October 31 or at the door $20
Fun Night
I plan to attend the Governor's Masquerade Ball
Pay by October 31 $10
Pay after October 31 or at the door $15
Your payment must be postmarked by the dates indicated above in order to take advantage of Early Bird prices.

Payment Options
Notes:
  • Your payment must be postmarked by the dates indicated above in order to take advantage of Early Bird prices!
  • If your payment is received after October 31, we cannot guarantee that a meal will be available.
  • No refunds after October 31.
I will send a check.
Make the check out to "District 31 Toastmasters" and mail it to Julie Grant, 29 Granite Street, Cambridge, MA 02139
I will pay at the door.

Additional Information

If you won a free ticket to the Conference or $10 off the price of a Conference ticket, please say so in the Comments block below. (Click here to see if you are on the list.)
If you have any other comments, please enter them below as well.
Comments:  

To reserve a room at the hotel, contact the hotel directly at 1-800-HILTONS. Be sure to mention the special Toastmasters room rate of $99.

Free parking is available at the hotel.

Hilton Hotel is accessible via commuter train. Click here for more information.

For information regarding the Fall 2009 Conference, please email Satvir Maudgal, the Conference Chair, at ConferenceChair@district31.org.


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