“Doing Good in Our World!”

DISTRICT CONFERENCE

Best Western Plus503 Washington Avenue, Kingston, NY

May 13 - 15, 2016

OVERNIGHT GUESTS: A $100.00 deposit per room is required to hold your reservation. The balance will

be due upon check-in at Best Western Plus. Checks and all forms of major credit card are acceptable forms of

payment for your deposit or payment in full. COMMUTER GUESTS: Your balance is due in full to confirm

your reservation. Checks only will be accepted for payment.

Please fill out the form on page 2 in its entirety & return to Lauren Rowley at the address listed. A

confirmation receipt will be sent to you via e-mail or regular mail if e-mail is not available.

Please contact Lauren at LittleLo181@yahoo.com or (845) 926-6097 with any questions you may have.

YOUR CONFERENCE SCHEDULE

Friday, May 13th - 7pm Opening Reception “highlighted” by a Roast of DG

Nick Constantino

Saturday, May 14th Breakfast with Ulster County Executive Michael Hein

Lunch with Rolland Smith, former ABC Correspondent

Top Hat Dinner with Jen Middleton

Plenary Sessions 1 & 2

Sunday, May 15th Plenary Session 3

Closing Brunch with a surprise guest!

Our Plenary Sessions will be filled with programs that fit

our conference theme

DOING GOOD IN OUR WORLD.

A program will be published once the schedule

has been finalized.

Conference Options & Rates (Please check only one.)

Full package, Double Occupancy (2 nights hotel & all meals)…….…………………………………….

Full package, Single Occupancy (2 nights hotel & all meals)…….…………………….....……………..

One-Night Package, Double Occupancy (Saturday night hotel, Top Hat Dinner, Sunday meals)…….….

One-Night Package, Single Occupancy (Saturday night hotel, Top Hat Dinner, Sunday meals)………..

Commuter Package (All meals)…………………………………………………………………………...

Top Hat Dinner Only……………………………………………………………………………………..

$ 636.00

$ 438.00

$ 470.00

$ 285.00

$ 198.00

$ 65.00

A deposit of $100 per room is required for overnight guests to confirm this reservation. Commuter guests must

pay their balance in full to confirm this registration. OVERNIGHT GUESTS: Checks payable to Best Western

Plus or credit cards accepted COMMUTER GUESTS: Checks only made payable to Rotary District 7210.

Mail completed registration form and payment by April 13, 2015 to:

ROTARIAN INFORMATION GUEST INFORMATION

Full Name:

Full Name:

Badge Name:

Badge Name:

Rotary Club

of:

Relationship:

Address:

City, State,

Zip:

Phone:

Email:

I am sharing a room with the following Rotarian(s):

________________________________________

________________________________________

PAYMENT INFORMATION

OVERNIGHT GUESTS COMMUTER GUESTS

Amount Paid Today: $_____________

(Balance due at conference check-in.) Balance paid in full: $_____________

Payment Type

(Circle One)

Check MasterCard Visa AMEX Discover

Checks only accepted for commuter payments.

Make checks payable to: Best Western Plus Make checks payable to: Rotary District 7210

Name on Card:

For District Use

Received:

Confirm Email

To Hotel:

____________

____________

____________

Billing Address:

Account #:

Exp. Date:

CVV# (Security code):

Registration Form

2016 District Conference ALL ROTARIANS must submit a form—even when sharing a room!