SWONT District Third Quarter Registration 2025

1
Name* This field is required.
First Name
Last Name
2
Email
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
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Club Name* This field is required.
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Club Number
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Zone Number
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Fees (Click the plus sign to add Lunch to your total)**Pre-registration must be completed by April 9th.in order to guarantee meals.
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My Bag
2
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costCAD
Conference Registration Fee
$25.00CADEdit
Back
Lunch
$20.00CADEdit
Back
Total cost $0.00CAD
8
Dietary RequirementsPlease indicate any dietary requirements that need to be considered for meals.
9
PositionPlease check all that apply
FIRST CONFERENCE
Past Governor
SECOND CONFERENCE
Lieutenant Governor
Lieutenant Governor Elect
District Chair
District Committee
Club President
Club President Elect
Club Vice President
Club Vice Preside Elect
Club Secretary/Treasurer
Club Secretary/Treasurer Elect
Club Secretary
Club Secretary Elect
Club Treasurer
Club Treasurer Elect
Charter Member
Life Member
Club Chairperson
JOI Governor
JOI Secretary/Treasurer
JOI Member
Club Member
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Please click "SUBMIT" to complete this form.

You will receive a confirmation email from JotForm with payment instructions.

Please contact Annette Muellejans at SWONTQuarter@gmail.com if you have any questions.

Thank you for your time! We are looking forward to seeing you at the Conference!
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