Registration – District 59 Spring 2008 Conference

Registration Form

Required fields are marked with an asterisk (*). Please fill out all required fields.

Last Name *

First Name *

Gender *

Female Male

Toastmasters Club

Please select your club from the list above.
If your club is not on the list, please fill in the fields below.

TM Club Name

TM Club Number

TM District, Division, Area

, ,

Toastmasters Title

Communication Leadership

Member Guest

1st-timer More than once. How many times?

Address *

City *

Postcode *

Country *

Telephone *

Please include country and area codes.

Mobile

Please include country and area codes.

E-mail *

Package *

Full (entire conference, including Gala evening)

Early-bird registration: € 125

Regular registration: € 145

Late registration: € 165

Guest (Saturday afternoon (no lunch) and Gala evening)

Regular registration: € 75

Gala dinner preference *

Meat Fish Vegetarian

Accommodation *

With local TM I will accommodate (book a hotel) myself.

I'm available as a judge:

Nationality

Age

≤25 26 – 35 36 – 45 46 – 55 56+

Comments

If you experience any problems with the registration process,
please contact us at conference@bohemiantoastmasters.org.