ROTARY INTERNATIONAL DISTRICT 5320 DISTRICT CONFERENCE MAR 27-29, 2009 HYATT REGENCY NEWPORT BEACH 1107 JAMBOREE ROAD, NEWPORT BEACH (949) 729-1234 Rotary International 2009 District Conference Rate of $170 plus tax Single/Double if reserved by March 5, 2009

Rotarian Name		Nickname
Spouse/Guest		Nickname
Address		City	ZIP
Business Phone	() - x	Home Phone	() -
Rotary Club of

Please indicate all applicable:
PDG	President	Past President	President Elect
Paul Harris Fellow	Paul Harris Sustaining Fellow	New Member (since March, 2008)	RI Benefactor

REGISTER FOR THE EVENTS:		COST	NUMBER	TOTAL
REGISTRATION AND HOSPITALITY SUITES		$		$
(Registration Required to attend Hospitality Night)
FRIDAY, MAR 27	NOON LUNCHEON	$40		$
	HOSPITALITY NIGHT 6:00 to 11:00 p.m.	Included in registration fee
SATURDAY,	8 A.M. BREAKFAST	$30		$
MAR 28	NOON LUNCHEON	$40		$
	5:30 P.M. GOVERNOR'S BALL	$100		$
SUNDAY, MAR 29	10 A.M. BRUNCH	$40		$
			TOTAL	$

Online Registration Closed

Questions: Jim de Boom, PDG (949) 689-4443

Cancellations made by March 15, 2009 will receive a full refund