District 61 Fall Conference Registration Form

November 4-5-6, 2005
Hotel Des Seigneurs (Saint-Hyacinthe, Quebec)

Registering by mail

If you would rather register by mail, simply download and print the Registration Form (PDF) and send it along with your payment (see instructions at the bottom of the form)..

Registering on the Internet

If you would rather register and pay using the Internet (via Paypal), simply fill in and send the personal information form bellow and then make your Paypal payment.

Personal Information
First Name: Last Name:
Address: City:
Province/State : Postal Code/Zip :
E-Mail:
Tél. Day : Tél. Night :
Club Officier:
Club Name: Club Number:
Accessibillity Requirements :

Level:

 
CTM ATM-B
ATM-S
ATM-G
CL AL DTM Non-Toastmasters
Is this your first Toastmasters conference?

I prefer participating in:

I want to volunteer!

(we might contact you)
Registration Seargeant at Arms
Host/Hostess Photographer
Introduce a speaker Master of Ceremonies
Invocation Toast
Contest Official Other :
Choose Your Meals!

Saturday Lunch:

Saturday Dinner Banquet :

Food Allergies :


For planning purposes, indicate if you will take a room at the Hotel :


(You still have to make your own arrangements)

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Conference Registration Choices with Paypal payment
Full Registration(4 meals) 159,00 $
     
Friday Night Only (No meals) 30,00 $
Saturday Only (3 meals) 119,00 $
Saturday Breakfast Only (1 meal) 30,00 $
Saturday Lunch Only (1 meal) 40,00 $
Saturday Banquet & Dance Only (1 meal) 75,00 $
Sunday Breakfast Only (1 meal) 30,00 $
     
All Workshops and Contests 50,00 $
     

Click here to see your basket's contents

 

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Receipts

You will receive your receipt upon arrival at the conference..

Cancellation

Cancellations must be done in writing before Octobre 10, 2005. You will receive a refund, less a $20 administration fee.

Returned Cheques (NSF, etc.)

A $30 service charge will apply to returned cheques .

Hotel Accommodations

There are no more rooms available at the Hotel des Seigneurs, Saint-Hyacinthe (Quebec),
1200, Johnson street, Saint-Hyacinthe, Quebec, J2S 7K7
Phone : Local : 450-774-3810, Montreal : 514-334-3810, Elsewhere : 1-866-SEIGNEUR (734-4838)
Fax : 450-774-2060, Web Site: www.hoteldesseigneurs.com, E-Mail : seigneurs.sthy@chiphospitality.com

Room Rates :
89,00 $ plus taxes (single of double occupancy) per night. ==> Additional guests $20 for triple or quadruple occupancy
Prices available untif October 5, 2005 only. After that date, you have to pay full rate depending on availability .
Please call 1-866-SEIGNEUR (734-4638) to reserve with your credit card.
Please refer to the group reservation code Toastmasters to benefit for the indicated prices.
Cancellations permitted up to 6:00 p.m., October 5, 2005

Hotel Days Inn in Ste Hélène
The Days Inn is situated approximately 12 minutes by car from the Hôtel des Seigneurs and is on the side of autoroute 20, therefore easily accessible.
Days Inn Ste-Hélène, 410, Couture, Ste-Hélène, Quebec , Tel. : (450) 791-2580, Toll free: 1-800-DAYSINN
Fax. : : (450) 791-2058, E-mail: info@ste-helene.com

Double occupancy $79.99

If you want to reserve a room, hurry up! Rooms are limited. Call this hotel to reserve a room. At this writing (mid-october) there were still about 60 rooms available for november 4th and about 40 for the 5th.

Here are the directions to get there : http://www.ste-helene.com/english/trajet/trajets2.html
Exit 152, autoroute 20

For Additional Information

Contact Lise Blondin by E-Mail at d61conference@hotmail.com

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