Post on 22-Apr-2021
transcript
Form#MD4conReg2019
“BUONGIORNO, BUONASERA!” Hello, Welcome!
Load up your Gondolas and head up the Sacramento River for The 100th Pride Gathering of California Lions for
Comradeships, Old and New, Lion Business, Entertainment, Education and Lots of Fun at the
California Lions Clubs Multiple District Four Convention
FEBRUARY 8th – 10th, 2019 CLUB _____________________________________________________________SUB-DISTRICT __________________
CURRENTTITLEANDNAME___________________________________________________________________________
NAMEONBADGE___________________________________________________________________________________
ADDRESS__________________________________________________________________________________________
CITY_________________________________________________________________STATE_______ZIP ____________
HOME-PHONE ___________________________________CELL-PHONE_______________________________________
EMAIL____________________________________________________________________________________________
• Thisregistrationisnotvalidwithoutpayment.• Paymentbycheck(ifnothonoreda$25.00feeischarged).• Receiptswillbeavailableinpacketsattimeofregistration.
MAKEHOTELRESERVATIONS*HotelRates:$139pernightplusapplicableroomtaxandcharges.
*Doubletree Hotel (Host Hotel)2001PointWestWay,Sacramento,CA95815(800)686-3775•www.doubletreesacramento.com•CodeforDoubletree(CGC)
*Over flow Hotel: Sacramento Hilton Arden West, 2200HarvardSt.,Sacramento,CA95815(800)-445-8667•(916)922-4700•www.3.hilton.com•CodeforHilton(LionsClubsInternational)
You have the option to book rooms in either of the above Hotels at the current rate. Iftheblocksofroomsatboth the Hotelsarefull,you will need tofindanotherHotelonyourowninthearea.(Thosesubmittingreimbursement,pleasebookatthehosthotels.
Stiamoaspettandoconimpazienzadiincontrareconvoi,viaggiosicuro.Wearelookingforwardtomeetingwithyou,travelsafe.
-------PLEASECOMPLETETHISFORMANDMAILWITHMEALREGISTRATIONFORM(#MD4SAC2019)ANDPAYMENT..
ONEPERSONPERREGISTRATIONFORM..DeadlineforRefund:02/01/2019
Mailto:LionMarjeanO’Neill•7592BethCt.,RohnertPark,CA94928Questions:(707)664-8511•Lionmarjean@gmail.com
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Form#MD4Sac2019
MD4con2019•Feb.8-10“FantasticoAmicizia”“FantasticoGente”
“FantasticFriendship""FantasticPeople”CELEBRATINGTHE100THANNUALCONVENTION
Name,Title,District:__________________________________________________________________________________
SpecialDietNeeds:___________________________________________________________________________________
OneMealFormperperson. Package1 Package2 Package3 ÁLaCarte
Choiceofpackage(datedriven) Postmarked Postmarked advance order by 2/4Paidat conv.
Receivedby
orÁlacarte. by12/31/18 by1/31/19 2/4/19
$320 $340 $355 OnlyForPACKAGEincludesregistration,Pin, and all meals.Pleasecheckyourmealchoice below. ❑ ❑ ❑ ÁLaCarteREGISTRATION(required)CONVENTIONPIN
❑ $70_________❑ $5_________
FRIDAYLEADERSHIPLUNCHEONParmesanArtichokeChicken ❑ ❑ ❑ ❑ $50 _________PomegranateGlazedSalmon ❑ ❑ ❑ ❑ $50 _________DINNER“DinewithaLeader”BaconWrappedChicken&MahiMahi ❑ ❑ ❑ ❑ $69 _________SearedBBQChicken ❑ ❑ ❑ ❑ $69 _________
SATURDAYINTERNATIONALLUNCHEONClassicCobbSalad ❑ ❑ ❑ ❑ $50 _________ChilledBlackenSalmonSalad ❑ ❑ ❑ ❑ $50 _________GOVERNORS’BANQUETDINNERPrimeRibofBeef ❑ ❑ ❑ ❑ $74 _________CrabStuffedSalmon ❑ ❑ ❑ ❑ $74 _________Eggplant&VegetableRatatouilleWellington ❑ ❑ ❑ ❑ $74 _________
SUNDAYBUFFETDoubletreeSunriseBreakfastBuffet ❑ $42 _________
REFUNDDEADLINE:February1,2019 TOTAL __________ __________ _________ TOTAL _________
RegistrationbyMail–Checkpayableto:MD4Convention2019Mailform&checkto:LionMarjeanO’neill,7592BethCt.,RohnertPark,CA94929
RegistrationbyE-mail-Usethisformonly.•Lionmarjean@gmail.com•$5creditcardprocessingfee.Creditcardtype: ❑ MC ❑ Visa ❑ AMEX ❑ Other______________________________
NameonCard: ___________________________________________________________Billingzipcode______________________
CardNumber:________________________________________________ Expirationdate:_______________3digitnum. ________
ContactLionMarjeanO’neill•Call(707)664-8511withanyquestions.
Sendthisformtogetherwiththefilledinregistrationform#MD4conReg2019.…
Foraminuseonly.
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