Zonta International District 1
2007 Fall Conference Registration Form

To Register:
1.) Print and complete both columns
      of this form. Please print legibly.
2.) Choose meal selections, enter # for each.
3.) Fill in # of guests who will not
     be registered for the conference, but who
     plan to join us for lunch or the banquet.
4.) Check/money order (US$) payable to:
     Zonta District 1 Fall Conference 2007
5.) Mail to:
      Lynne Belanger
      Conference Treasurer
      PO Box 1615
     Saco, ME 04072-7615 USA

Attending as (check all that apply):
First-Time Attendee
Delegate
Alternate Delegate
Past District Governor
Member
Guest

(Please indicate # of each):
Saturday Luncheon Choice::
(#) ___ Lobster Roll w/Homemade Coleslaw (Fresh lobster w/celery and mayonnaise on a toasted roll, chips, cold beverage and dessert)
(#) ___ Maine Chicken Spinach Salad (Tender baby spinach, chicken, dried cranberries, walnuts, onions, goat cheese, tossed in a maple sherry vinaigrette,
fresh bread, dessert and cold beverage.

Saturday Banquet Menu Choice:
(#) ___ Grilled Center Cut Pork Loin (in a Maine wild blueberry demi glace)
(#) ___ Traditional New England Baked Haddock, rolled in parsley, cracker crumbs and butter
(#) ___ Vegetarian Lasagna

Name:

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Address:

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City:

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State/Prov ZIP:

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Telephone: (            )

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Email address:

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Zonta Club of:

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Special Accessibility/Dietary Needs:

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