202D District Convention
Stratford 28th February - 2nd March 2025
Important: Each Lion must complete a separate registration form
Name
First Name
Last Name
Club
District
Office Held
Are you a voting delegate?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Non-Lion Spouse / Partner:
First Name
Last Name
Mobile
-
Area Code
Phone Number
I will be attending:
Registration - N/C
Friday Night - See cost below
Saturday Business - AGM Includes morning tea and lunch N/C
Partner Programme - See cost below
Saturday Evening Dine and Dance - See cost below
Sunday remembrance and rededication Includes morning tea N/C
Dietary Requirements
Gluten Free
Vegan
Vegetarian
Dairy Free
Other
FUNCTIONS AND COSTS
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Friday Night
Includes meal Casual mix & mingle
$
10.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Partners Programme
Includes bus, tours & lunch
$
10.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Saturday - Evening Dine and Dance
"Around the Mountain" Includes meal and entertainment
$
50.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Registration & Payment Options: REGISTRATIONS CLOSE: 21st February 2025
Payment is by way of Internet Banking please. TSB Internet Banking: Eltham Lions Events Account, Account Number: 15-3951-0397692-03 Particulars: Member's Name; Code: Club Name; Reference: Reg
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