Bonaire Conference Registration form

Online registration form for Toastmasters International D81 Conference 2019

Note: Please submit one form per person. This form has Early Bird Registration prices
Early bird fee

Registration and payment receiv
Island tour BONUS

Registration and payment received before december 30, 2020 your island tour is free of charge and not transferable to another person.
Full Name *

First Name Middle Name Last Name
Gender *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Email *
example@example.com
Firs time to attend D81 Conference? *

Yes No
Are you a toastmasters or a Guest? *

Toastmaster Guest
Toastmasters Designation

CC CL ACB ALB ACS ALS ACG DTM
Pathways Designation

L1 L2 L3 L4 L5 Mention your highest path
Club Officer
My Products
prev next ( X )
Full Conference $ 150.00

Payment date

Island tour $ 40.00

Contestant Full Conference package $ 60.00

Transportation $ 40.00

Total $ 0.00
District Officer
Are you a speech contestant?
Club number if speech contestant
Club Name *
Club Country *
A la carte option for Single ticket purchase

Educational Sessions May 16th $45 Opening Ceremony May 16th $25 Educational Sessions May 17th $35 Speech Contest May 17th ( TT & Evaluation) $40 Hall of Fame May 17th $40 Educational Sessions May 18th $40 International Speech Contest May 18th $ 40 Installation & Celebration Eve May 18th $65
Total sum of A la carte tickets
Payment option *
Name on card
Card number
Exp date on card
YY-MM-DD
Bank transfer information:

Toastmasters International Conference

Account nr.41650102

Name Bank: Maduro & Curiel's Bank (Bonaire) N.V.

Swiftcode: MCBKBQBN
Arrival Date

Month Day Year
Date
Arrival Time

: Hour Minutes AM/PM Option
Departure date

Month Day Year
Date
Departure time

: Hour Minutes AM/PM Option
Carrier name
Flight number
Choose your hotel

Courtyard Marriott Bonaire Plaza Beach Resort Bonaire
Assistance with your visa

You need to handle your visa application in case you need one

www.tourismbonaire.com/FAQ

Assistance to book your accomodation

Accomodation reservation needs to be handled directly with the venue of your choice. You may visit our official conference website for further assistance.www.caribbeantoastmasters.com/may-2019-conference
Emergency contact person(Name, phone and email address *
Should be Empty:

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Online registration form for Toastmasters International D81 Conference 2019

Early bird fee

Island tour BONUS