Convention Registration Registrant DetailsDisitrict* Club Name* Club Number* Registrant Name* LionLionessMr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Partner Name* LionLionessMr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Contact DetailsAddress* Address line 1 Town/suburb Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Phone*Email* Emergency ContactName* First Last Phone*Email* Hospitality Packages Hospitality Early Bird Offer - Book and pay before 1 October 2019Full Convention package paid before 1st October* Price: $ 125.00 Quantity: TotalFull Convention package paid after 1st October* Price: $ 140.00 Quantity: TotalItems marked with a # are included in the full hospitality packageAttending but not requiring Hospitality # Price: $ 50.00 Quantity: There is a conference registration fee of $50.00 which cover registration and morning and afternoon tea on conference daysTotalFriday 25th OctoberRegistration from 2pm-5pmWelcome dinner # Price: $ 30.00 Quantity: The welcome dinner will consist of xxxx yyyy TotalSaturday 26th OctoberLunch Saturday # Price: $ 17.50 Quantity: Buffet LunchTotalGala Dinner # Price: $ 75.00 Quantity: 3 course gala dinner and entertainmentTotalSunday 27th OctoberLunch Sunday # Price: $ 20.00 Quantity: Sundat lunch will be sandwichesTotal Optional ExtrasSaturday Afternoon Partners Tour Price: $ 25.00 Quantity: The partners tour will be a River Cruise and includes afternoon tea. Minimum of 50 required.TotalConvention Pins Price: $ 5.00 Quantity: TotalGrand total $ 0.00 CommentsThis field is for validation purposes and should be left unchanged. Δ
