ROTARY INTERNATIONAL DISTRICT 5320 DISTRICT CONFERENCE APR 30 - MAY 1, 2010 KNOTT'S RESORT HOTEL 7675 CRESCENT AVE, BUENA PARK (714) 995-1111 Rotary International 2010 District Conference Rate of $99 plus tax Single/Double if reserved by 4:00 P.M. April 15, 2010 - Ask for the Rotary Room Rate

Rotarian Name		Nickname
Spouse/Guest		Nickname
Address		City	State ZIP
Business Phone	() - x	Home Phone	() -Email
Rotary Club of	Select Club or enter Club Name ---> Anaheim Anaheim Hills Anaheim Sunrise Avalon Brea Buena Park Cerritos Costa Mesa Coto de Caza RSM Coto de Caza RSM Del Sol Cypress Fountain Valley Fullerton Fullerton South Fullerton Sunrise Garden Grove Huntington Beach Irvine Spectrum Laguna Beach Laguna Niguel La Habra Lakewood La Mirada Long Beach Los Alamitos/Seal Beach Mission Viejo Monarch Beach Sunrise Newport Balboa Newport Beach Sunrise Newport Irvine Norwalk Orange Orange North Orange Sunrise Placentia San Clemente San Clemente Sunrise San Juan Capistrano Santa Ana North Santa Fe Springs Signal Hill Surf City Huntington Beach Tustin-Santa Ana Villa Park Whittier Whittier Sunrise Yorba Linda Sunrise Interact (All) Rotaract (All)	OR    Other Club not in list:

Please indicate all applicable: (R = Rotarian, S = Spouse, G = Guest, or a combination)
Past District Governor -- R S G R and S R and G	President -- R S G R and S R and G	Past President  (Year)  -- R S G R and S R and G
President Elect -- R S G R and S R and G	Paul Harris Fellow -- R S G R and S R and G	Paul Harris Sustaining Fellow -- R S G R and S R and G
New Member (since July, 2009) -- R S G R and S R and G	RI Benefactor -- R S G R and S R and G	Rotaractor -- R S G R and S R and G

REGISTER FOR THE EVENTS:		COST	NUMBER	TOTAL
REGISTRATION AND HOSPITALITY SUITES		$ Rotaractor rate will be applied on the next screen if applicable		$
(Registration Required to attend Hospitality Night)
FRIDAY, APR 30	NOON LUNCHEON Speaker Brad Darling	$35	Regular Vegetarian	$
	HOSPITALITY NIGHT 6:00 to 11:00 p.m.	Included in registration fee
SATURDAY,	8 A.M. BREAKFAST Speaker Michael Pritchard	$25	Regular Vegetarian	$
MAY 1	NOON LUNCHEON Speaker John Herrington	$35	Regular Vegetarian	$
	6:00 P.M. GOVERNOR'S BALL	$75	Regular Vegetarian	$
			TOTAL	$

Questions: Jim de Boom, PDG (949) 689-4443
Cancellations made after April 20, 2010 will receive NO refund