Midwestern Ontario District Optimist
Changing Times
Convention Registration 
22th Annual Midwestern Ontario District Convention
Walper Terrace Hotel, Kitchener, Ontario
August 22-24, 2008

 


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

Fellowship Breakfast 

(Saturday 6:59am)

$15.00ea

MWO District Luncheon 

(Saturday Noon)

$16.00ea

"Changing Times" Banquet

(Sat. 6pm)

$27.00ea

Changing Times Team Luncheon 

(Sunday 11am)

$16.00ea

Partner's Activity Day


$25.00

Youth Activities - Ages 5 to 17

Fri 7pm & Sat 7am   

$25.00ea
  Total $

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

 

Hotel Reservation:
Walper Terrace, Kitchener
1 King St. W. (at Queen)

Check if you require a room reservation  
Choice of Rooms: BedTtype:
Room Occupancy: Adults: Children:

     ARRIVAL DATE:     TIME
DEPARTURE DATE  

Wheel Chair Access

Non-Smoking

All rooms are 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. 
Rooms are limited, and assigned of a FIRST COME, FIRST SERVED BASIS, so Book early.

All Rooms must be booked through the Convention Registrar.
Anne Van Niekerk,
5525 King St. RR2,
Wellesley, Ont. N0B 2T0