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