1996-1997 Tri-District P.E.T.S. Registration Form
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Tri-District PETS Registration Form For Incoming Club President on July 1997 The complete package for the Incoming Club President includes all materials, program costs, breaks, hospitality periods, and all meals. The Registration Fee before March 15, 1997 is $125.00. $_______ The Registration Fee after March 15, 1997 is $150.00. $_______ Please indicate your Arrival Date: _____________________________ Please indicate your Departure Date: ___________________________ MEAL REGISTRATION FOR SPOUSE or GUEST Please indicate the meal & the $ amount for each meal your Spouse or Guest will be attending by filling in the blanks opposite each meal. Friday April 4, 1997 Banquet $11.50 $________ Saturday April 5, 1997 Breakfast $ 9.00 $________ Saturday April 5, 1997 Luncheon $ 7.50 $________ Saturday April 5, 1997 Banquet $19.00 $________ Sunday April 6, 1997 Breakfast $ 9.00 $________ Total $ 56.00 $________ __________________________________________________________ There will be provisions for those with DIETARY restrictions or other reasons to receive special meals. If this is a consideration for you, please indicate your preference here and also notify the Oshkosh Hilton when you make your room reservations. _______________________________________________________ _______________________________________________________ ________________________________________________________ TOTAL AMOUNT ENCLOSED: $_________________ ======================================================= Tri-District PETS April 4, 5, 6, 1997, Oshkosh, WI. Registration Form Incoming Club President July 1997 First Name: ____________________________ Last Name: ____________________________ Name Of Rotary Club: __________________________________ District # _________ Badge Name / Nick Name: _______________________________ Spouse / Guest Name: _____________________________________ Address: ________________________________________ City: _________________ State: ____ Zip Code: ___________ Home Phone: _______________________________ Work Phone: _____________ Fax: _____________ E-mail Address:______________________ Number of Members in your Club: _____ Are You A Paul Harris Fellow ? Y N Is Your Spouse a Paul Harris Fellow ? Y N Are You A Benefactor ? Y N Is your spouse a Benefactor ? Y N Does Your Club Pay the PETS Reg. ? Y N Does your Club pay for the Hotel ? Y N The Meals For your Spouse ? Y N Please CIRCLE the Y yes or N no to answer the above questions. Thank You ! REGISTRATION FEES: $125.00 if received by March 15, 1997. $150.00 after March 15. 1997. Make checks payable to TRI-DISTRICT PETS. No REFUNDS after March 31, 1997. Complete Enclosed Registration Form. Send TO: PDG Robert J. Zimmerman, PETS Chair / Treas. 1426 21st Ave. South, Wisconsin Rapids, WI 54495-5619, H/715-421-5042 , F/421-1843
HOTEL RESERVATIONS: Rooms are available at a special rate at the Oshkosh Hilton but you must make your own reservations using the enclosed form. If You Have QUESTIONS ?: Contact your District Governor Or District Governor Nominee ! ================================================ District 6220 - DGN Thomas Kerley 75 Utopia Circle Sturgeon Bay, WI. 54235 H/414-746-4575 - Fax/414-746-4575 District 6250 - DGN Sharon Imes 3465 Ebner Coulee Rd. La Crosse, WI. 54601 H/608-784-8071 - W/608-782-0835 - Fax/608-784-7414
District 6270 - DGN Dave Rowland 245 Main St. Racine, WI. 53403 H/414-638-1352 - W/414-637-0900 - Fax/414-639-2433
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