K-T Kiwanis Mid-Year Conference
Registration Form
February 23-24, 2007
Crowne Plaza
401 W. Summit Hill Drive
Knoxville, TN 37902

NAME_______________________________PARTNER______________
(If attending)
Please circle one: Is your partner a Kiwanian? Yes No

ADDRESS________________________________________________

__________________________________________________

CLUB_____________________ Day Time Phone____________________

Email Address:________________________________________________

YES______I WILL ATTEND. NO_______I CANNOT ATTEND.

Please check those items that may apply to you:

____Current Club President ____Incoming Club President

____Current Club Secretary ____Incoming Club Secretary

____First Timer to a Kentucky-Tennessee District Conference

____Past Governor ____KY-TN District Foundation Member

____Member of Sponsored Programs Club (K-Kids, Builders, Key, Circle K)

____District Committee Chair

____Will attend CLUB LEADERSHIP EDUCATION TRAINING

This is important. If you cannot attend, please send this form back to the District Office so we do not have to call you with a reminder. Thank you.

Includes Registration, Friday Banquet, Sat. Breakfast Buffet, and Sat. Lunch Buffet.

Note: Room reservations must be made directly with the Crowne Plaza- Knoxville at (800) 227-6963

or (865) 522-2600. Room Rate is $90.00 per night + state and local taxes (currently 17.25%)

(Reservations made with the hotel after 01/02/07 will be provided on a space available basis.)

Make check payable to KY-TN District of Kiwanis International.

fter 2/3/07, Total Registration is $100.00 #___ x $100.00 =_____

CLE Training                                                            $30 = $______

All conference attendees must pay the registration fee

Registration (BEFORE 02/03/2007)           #_____ x $20 = $______

Registration (AFTER 02/03/2007)            #_____ x $30 = $______

Registration (WALK-IN)                           #_____ x $40 = $______

Friday Banquet                                            #_____ x $30 = $______

Saturday Breakfast Buffet                          #_____ x $19 = $______

Saturday Lunch                                            #_____ x $23 = $______

TOTAL AMOUNT DUE                              $_______

ALL MEALS MUST BE ORDERED IN ADVANCE.

NO MEALS WILL BE AVAILABLE FOR "WALK-INS"

Make check payable to: KY-TN District of Kiwanis International

Mail to:

KY-TN Kiwanis Office
1035 Strader Drive, Suite 150-1
Lexington, KY 40505

Click here for Registration Form

Click here for Tentative Agenda

Click here for Hotel Information

Click here for Map to Hotel

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