2011 Zonta District 6 Registration Form

District 6 Fall Conference
Leading Across Generations
Dates: October 7 - 9, registration begins at 2:00 pm on 10/7
Location: The Hyatt,1400 Corporetum Drive Lisle, IL 60538, (630) 852-1234 www.lisle.hyatt.com

Name:
Address:
City:
State:
Zip:
Home Phone:
Cell/Work Phone:
Email Address:

Name of Zonta Club:

Can we include your Contact Information in the Conference Booklet?
Yes No

Please check all that apply
First time attendee ($10 discount)
Second Timer
Club President
Club Delegate
Club Alternate
District Board Member
Past Governor
Guest

Would you like to register for a Zonta Store (one per club)?
Yes, (fee is $15) No

Advancve registration for the shuttle bus to the Zonta International Headquarters. The non-refundable fee is $5.
No Shuttle 1pm 2pm 3pm

Shuttle service is available on a first-come first-serve basis with 15 max people/tour.

Register for the conference:
Regular (After Sept. 2nd) - $135

Friday Lunch (select one):
Pasta Bar (Meat/Alfredo Sauce) Vegetarian (*Du Chef)

Saturday Lunch (select one):
Caesar Salad Caesar w/ Chicken Vegetarian*

Saturday Dinner (select one):
Chicken Marsala Vegetarian*

Please indicate any special dietary needs:

Notes:

Room Reservations – at The Hyatt please contact Sarah Billmeyer directly at 630-442-6042 by September 2nd to receive the special rate of $91 + tax (includes breakfast).
Cancellations on or before 30 days prior to the conference will be refunded at 100% of all conference fees paid. Cancellations 29 – 11 days prior to the conference will be refunded at 50% of all conference fees paid. No money will be refunded 10 days or less prior to the conference. Registration is transferable.
Call or e-mail Brandy Harrington with conference questions at 630-254-2452