Midwestern Ontario District Optimist
Believe in K.I.D.S.
Convention Registration 
19th Annual Midwestern Ontario District Convention
Wheels Inn, Chatham, Ontario Aug 26,27,28, 2005


Complete the following to Register :

Ribbons (check all that apply) Cost
Member Surname: 
First Name: 
 Phone: 
 E-Mail: 
Club Name:
 Zone: 

First Timer
President
Pres Elect
Secretary
Treasurer
OIF Club Rep
Life member
Lt Gov
Lt Gov Elect
Past Gov
Past OI VP

$20.00

Member Surname: 
First Name: 
 Phone: 
 E-Mail: 
 Club Name: 
 Zone: 
First Timer
President
Pres Elect
Secretary
Treasurer
OIF Club Rep
Life member
Lt Gov
Lt Gov Elect
Past Gov
Past OI VP

$20.00

Spouse/Guest Name:  


$12.00

Children:

Name

Age

T-Shirt Size

T-Shirts must be worn for all youth activities
$6.00/child




Tickets


Qty

Opening Ceremoniess 

(Friday 8:00pm)

NC

Old Timers Breakfast 

(Saturday 6:59am)

$13.00ea

President 05-06 Luncheon 

(Saturday Noon)

$15.00ea

"Believe in Kids" Dinner and Entertainment

(Sat. 6pm)

$25.00ea

Sunday  Luncheon 

(Sunday 11am)

$20.00ea

Partner's Activity Day


$25.00

Youth Activities - Ages 5 to 17

Fri 7pm & Sat 7am   

$25.00ea

Registration is payable by cheque and should be made out to  MIDWESTERN ONTARIO  DISTRICT

 

Hotel Reservation:
Wheels Inn, Chatham

You may still register for the Convention. However, all unbooked hotel rooms have been released.
Please contact Theresa Holden 893-4479 (theresa_h[at]sympatico.ca) for update.