Toastmaster: __________________________________CTM____
ATM____ CL____AL____DTM____
TM Spouse: __________________________________CTM____ ATM____ CL____AL____DTM____ Guest(s): _________________________________________________________________________ Address: __________________________________________________________________________ City______________________________________ ZIP _______________ PHONE ______________ e-mail: _____________________________________________________________________________ Club name and number ________________________________________________________________ Is this your first conference? ________ YES_______ NO________ |
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Mail complete registration form together with your
check to:
Dan Winscot, CTM - 15240 N. 52nd Lane, Glendale, AZ
85306 602-843-6637
Make checks payable to: District 3 Toastmasters
Includes:
-Advance registration and meal requests must be postmarked by Sat Oct. 23, 1999 -Walk-in registration available at the door for $20 (no meals available). -No refunds after Oct 30, 1999 -Please, no children under 12 at educational sessions and speech contests. -Special dietary needs? Contact PJ Glauz at 602-272-5910 or e-mail wpj1@uswest.net * Gallery seating is provided at both SPEECH CONTESTS for those not partaking in meals. |
"WORKING TOGETHER; MAKE IT HAPPEN"
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