Kentucky-Tennessee Kiwanis District Mid-year Conference
Feb 13 - 14, 2009

Crowne Plaza Knoxville
401 W. Summit Hill Drive
Knoxville, TN 37902
Hotel Front Desk: 1-865-522-2600
Hotel Fax: 1-865-523-7200

Registration Form

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 2/02/09 is $95.00 #____ x $95.00 = ________

REGISTRATION postmarked after 2/2/09, Total Registration is $110.00 #___ x $110.00 =_____

Fee covers registration, friday banquet, saturday breakfast buffet, and saturday lunch buffet

Individual meals are as follows:

 

_______________________________

CLE Training (includes Lunch)                                                           $30 = $______
 
All conference attendees must pay the registration fee
 
Registration  (BEFORE 02/02/2009)                                      #_____ x $25 = $______
 
Registration  (AFTER 02/02/2009)                                        #_____ x $30 = $______
 
Registration  (WALK-IN)                                                     #_____ x $40 = $______

Friday Banquet Buffet                                                          #_____ x $35 = $______
 
Saturday Breakfast Buffet                                                     #_____ x $20 = $______

Saturday Lunch Buffet                                                          #_____ x $26 = $______
 
 
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 Registration Form with Check to:
                                    KY-TN Kiwanis Office
                                    1035 Strader Drive, Suite 150-1
                                    Lexington, KY 40505

Room Reservation Information

Note: Room reservations must be made directly with the Crowne Plaza at (865) 522-2600.

Request the KY/TN District Kiwanis International group block rate. Room Rate is $92.00 per night + state and local taxes (currently 17.25%).

(Reservations made with the hotel after 01/21/09 will be provided on a space available basis.)

Click here for 2009 Mid-Year Conference Welcome

Click here for 2009 Mid-Year Conference Registration Form

Click here for 2009 Mid-Year Conference Tentative Agenda

Click here for 2009 Mid-Year Conference Hotel Information

Click here for 2009 Mid-Year Conference Map to Hotel

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