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

____Past Governor

____Lt. Governor

____District Foundation Board

____Lt. Governor-Elect

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

____District Committee Chair

____Attending 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.

REGISTRATION postmarked by 2/3/08 - $90.00
#____ x $90.00 = ________
Includes Registration, Friday Banquet, Sat. Breakfast Buffet, and Sat. Lunch Buffet.
Note: Room reservations must be made directly with the DoubleTree Guest Suites at 800-262-3774.

Request the KY/TN District Kiwanis International group block rate. Room Rate is $99.00 per night + state and local taxes (currently 13.42%).

(Reservations made with the hotel after 01/28/08 will be provided on a space available basis.)
Make check payable to KY-TN District of Kiwanis International.

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

CLE Training All conference attendees must pay the registration fee Registration (BEFORE 02/03/2008) Registration (AFTER 02/03/2008) Registration (WALK-IN) Friday Banquet (Includes Ice Cream Dessert Reception with Circle K) Saturday Breakfast Buffet Saturday Lunch Buffet   TOTAL AMOUNT DUE

$30 = $______ All conference attendees must pay the registration fee #_____ x $20 = $______ #_____ x $30 = $______ #_____ x $40 = $______ #_____ x $32 = $______ #_____ x $15 = $______ #_____ x $23 = $______   $_______