REGISTRATION FORM

DISTRICT 6670 ANNUAL CONFERENCE

April 23 - 26, 2010

Majesty of the Sea ~ Royal Caribbean Cruise Lines

ROTARIAN ______BADGE NAME ______

ADDRESS ______CLUB ______

CITY ______STATE ______ZIP ______

TELEPHONE NUMBER (home) ______(office) ______

Age : ______(Year of birth)______Email : ______

Check all that apply:  Club President  President Elect  Paul Harris Fellow  Benefactor  Major Donor

 PDG  DG  DGE  DGN  AG

SPOUSE/GUEST NAME (if attending) ______BADGE NAME ______

Check all that apply:  Paul Harris Fellow  Benefactor  Major Donor  Rotarian Club ______

SCHEDULE

Friday, April 23rd – Sailing

Afternoon – Board

5:00 - 6:00 p.m. - Rotary Welcome Reception

6:00 – 8:00 p.m. - Rotary Programming I

8:30 p.m. - Dinner

Saturday, April 24th – At Sea/Bahamas

6:00 – 8:00 a.m. - Breakfast

8:00 – 11:00 a.m. - Rotary Programming II (Service Projects)

11:00 a.m. – 6:00 p.m. - Shipboard Activities; Ashore, Bahamas; Golf, Nassau

Saturday, April 24th continued

6:00 – 8:00 p.m. - Rotary Programming III (Keynote Speaker)

Sunday, April 25th – At Sea/Royal Caribbean Isle

6:00 – 8:00 a.m. - Breakfast

8:00 – 11:00 a.m. - Rotary Programming IV

11:00 a.m. – 6:00 p.m. - Shipboard Activities

6:00 p.m. – 7:00 p.m. - Rotary Farewell Reception

Monday, April 26 – Disembarkation

COST: $400.00 per person(inside cabin) $450.00 per person(outside cabin)* cost based on double occupancy

Includes all food for 3 days ~ lodging ~ $25 shipboard credit ~ all taxes and port charges

*NOT INCLUDED: Airfare from Ohio to Orlando, Florida**

Green Fees at CableBeach Golf Course - $180

Number Attending – Rotarian, Spouse/GuestTotal Cost

____ Registration Fee $35 per person (unless registered prior to August 1, 2009)$______

____ Inside Cabin ($400 pp) ____ Outside Cabin ($450 pp)$______

____ Green Fees at CableBeach Golf Course ($180 pp)$______

____ $100 non-refundable deposit per person (DUE AT THE TIME OF REGISTRATION)$______

TOTAL$______

______Check enclosed in the amount of ______Please charge my credit card in the amount of ______

Card #______Exp Date______

Verification Code # _____ (3 digit on back V/MC 4 digit of front of AMEX) Card type __Visa ___ MC

Signature______(charge will read: Rotary Club of Dayton)

PLEASE SEND COMPLETED REGISTRATION FORM TO

Laura Erbaugh, c/o Dayton Rotary, 40 S. Perry Street, DaytonOH45402