Midwestern Ontario District Optimist
Go for the Gold
Convention Registration 
20th Annual Midwestern Ontario District Convention
4 Points Sheraton, London, Ontario Sept 8-10, 2006


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:  


$13.00

Children:

Name

Age

 

 

 

 

 

 


 




Tickets


Qty

Opening Ceremoniess 

(Friday 7:30pm)

NC

Old Timers Breakfast 

(Saturday 6:59am)

$15.00ea

President 06-07 Luncheon 

(Saturday Noon)

$16.00ea

"Go for the Gold" Dinner and Entertainment

(Sat. 6pm)

$27.00ea

Sunday  Go for the Gold Team Luncheon 

(Sunday 11am)

$20.00ea

Partner's Activity Day


$25.00

Youth Activities - Ages 5 to 17

Fri 7pm & Sat 7am   

$25.00ea
  Total
Registration should be received before August 1, 2006
Registration is payable by cheque and should be made out to  MIDWESTERN ONTARIO  DISTRICT

 

Hotel Reservation:
4 Points Sheraton, London

Check if you require a room reservation    $99  -- plus taxes.
1st and 2nd Choice of Rooms:

     ARRIVAL DATE:     TIME
DEPARTURE DATE  

Cot Required ($15.00)
Wheel Chair Access
Smoking
Non-Smoking
Since this is not a secure site,  you will be asked to submit your Credit Card information to reserve your room when you mail in your cheque for your registration fees. 
All Rooms must be booked through the Convention Registrar, Past Governor Margie Shepherd macshepherd[at]sympatico.ca to receive this room rate.

All unbooked rooms must be released by Sept 2, 2006