Arizona District Conference and Convention Registration
4 th Quarter Arizona District Conference and Convention
August 23-25, 2019
Prescott Resort and Conference Center
Prescott Arizona
1-888-657-7875
Group Rate $93.00 + tax

ROOM RATE CUT OFF AUGUST 8, 2019

Member registration $10.00 prior to Wednesday August 14, 2019. Guest Registration is $5.00

PLEASE PRINT OUT AND BRING THIS RECEIPT WITH YOU!
A reminder email is sent the Monday before the meeting.
If you don't get the reminder, please contact Nova, n.sipe@aol.com

Email address *
First and Last Name *
Your answer
How many Member registrations? *
How many Guest Registrations?
Number of Southwest Chicken Salad Lunches @ $20.00 *
Number of Penne Pasta Lunches @ $20.00 *
We are Celebrating 100 Years of Optimism on Saturday Night! Number of Southwest Buffet Dinners @$35.00 *
Number of Sunday Morning Prescott Scramble Breakfasts@$18.00 *
I agree to the Meal Payment Policy of the District *
Required
Club Name and Number *
Your answer
Is this your 1 st Time at Conference? *
If you want to pay on line, please go back to the registration page at http://www.arizonaoptimists.com/registration-information.html after you submit this form. Thank you.
If you have special meal requirements, please contact District Leadership.
PRINT OUT AND BRING THIS RECEIPT WITH YOU!
A copy of your responses will be emailed to the address you provided.
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