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The music is playing, the beads are coming out, the parade is getting set up, but we need you to come
participate! Come celebrate the 2009-2010 Circle K year in the spirit of Mardi Gras! This year’s
celebration is being held at the Sheraton Milwaukee Brookfield Hotel!
Registration Cost
Full Registration which includes: The entire weekend’s activities (see schedule), K-Family Luncheon & President’s and
Parent’s Banquet meals, Convention T-shirt and Souvenir Bag
Postmarked by:
Early Registration: Friday, January 22nd, 2010 $80.00
Regular Registration: Friday, February 12th, 2010 $90.00
On Site:
On Site Registration: Friday, February 26th, 2010 $95.00
If you are unable to participate the whole weekend but would like to come to the K-Family Luncheon, Workshops and
or the President’s and Parent’s Banquet this is the cost breakdown:
Meal Options
K-Family Luncheon:
SMOKED TURKEY CLUB SANDWICH
Sliced Smoked Turkey Breast Served on a Croissant with Swiss Cheese, Bacon, Vine Ripe Tomato, Lettuce and Dijonaise. Served
with Potato Salad
SALMON FILLET
Salmon Fillet Crusted with Lemon Pepper Topped with Chardonnay Butter Sauce. Served with Garlic Mashed Potatoes
*Each option served with a Garden Salad, Dinner roll, Chef’s choice of vegetable, assorted beverages and NY Style Cheesecake with
choice Strawberry or Chocolate Sauce
Wisconsin-Upper Michigan Circle K District 47th Annual District Convention
Guest Registration Page
Name(s):_____________________________________________
(As it will appear on your name tag) Circle all that
apply:
_______________________________________________________ Club President
Address: ___________________________________________ Club Vice President
___________________________________________ Club Treasurer
Club Secretary
Phone Number: ______________________________________ First Timer
E-mail: ____________________________________________ Kiwanian
Registration Price: Alumni
Member
Postmarked by 1/22/2010 $80.00 Advisor
Postmarked by 2/12/2010 $90.00 Guest
On Site Registration $95.00
K-Family Luncheon & Workshops $24.00
Parents & President’s Banquet $36.00
K-Family Luncheon, Workshops,
and Parent’s & President’s Banquet $60.00
Meal Choice for President’s and Parent’s Dinner: place name(s) next to option
Walnut Roasted Pork Loin____________________ Salmon Fillet________________________
Stuffed Portabella Mushroom_______________________
Room Rates at the Sheraton Milwaukee Brookfield Hotel including tax and gratuity are $111.96 per
night. (Paid to the hotel, not the district.) The Convention Committee would like to stress the fact that
the more people get their registration in early, they will arrange for blocked rooms in the hotel!
Number in a Room: 1 2 3 4
Handicap Access Required: Yes No
T-shirt Size: please place name(s) next to option (Only if paying for full registration)
S____________ M____________ L____________ XL____________ XXL____________
Checks should be made out to W-UM District of Circle K need to be mailed in with registration!
Send registration and checks to Janet DeGroot at 207 23rd St. Dr SE Cedar Rapids, IA 52403
*Checks will be cashed within a few business days of receipt.
Wisconsin-Upper Michigan 2009-2010 District Convention in Brookfield, WI
Schedule of Events
Friday, February 26th, 2010 – Sunday, February 28th, 2010
PERSONAL RECORDS
**PLEASE KEEP FOR YOUR OWN RECORDS**
My registration was sent on:____________ I paid with check #: ____________
For K-Family Luncheon I am eating: ______________________
For Presidents & Parents Banquet I am eating: ________________________
Cancellation Policy: Any prepaid registration for this District Convention shall be refunded in full if a
written request is postmarked to the District Treasurer twenty-one (21) days before opening session.
Requests for refunds postmarked fourteen (14) days prior to opening session will be granted 50%, and
25% of the registration fee will be refunded to requests postmarked seven (7) days before opening
session. Special emergency refunds may be granted pending approval of the District Administrator,
Governor, Treasurer, and Convention Chair.
DRESS CODE
Formal:
Ladies~ An evening gown or dress
Men~ Suit and tie, sport coat, tuxedo
Casual:
Jeans, Circle K shirts, khakis, shorts.
Important Note: Nothing with beer, tobacco, drug, sexual, or other inappropriate logos or
connotations.
Business Casual:
Ladies~ A suit, skirt, blouse, dress, sweater, dress pants, etc.
Men~ Suit, nice pants, polo, button-down shirt, tie, etc.
If you have any questions regarding District Convention, please feel free to contact
Robyn White, the District Convention Chair.
Email: robyn.ann.white@gmail.com
Phone: (651) 894-3062