House of Friendship Application Form

Rotary District 5370
2017 CONFERENCE
Hosted by the
Westlock Rotary Club
WAITING FOR?
The What Are You Waiting For? Rotary District 5370 conference is hosted by the Westlock Rotary Club.
Join the conference and create an opportunity to showcase your organization to over 400 participating
delegates. Space is limited—Register early (complete and submit the application form on page 2).
CONFERENCE LOCATION
Westlock Rotary Spirit Centre: House of Friendship
EXHIBIT FEES INCLUDE:
April 6-8, 2017 -- 2 hosted lunches, for one person.*
6’ skirted table, one chair, electricity, WiFi
COMMERCIAL
EXHIBIT FEE ALONE: $200.00 + GST
For full conference participation, register at www.rotarydc2017.com
NOT-FOR-PROFIT
EXHIBIT FEE ALONE: $75.00 + GST
For full conference participation, register at www.rotarydc2017.com
ROTARY CLUBS
EXHIBIT FEE: No Charge
CONFERENCE REGISTRATION
*All additional exhibitors must register for the conference as a delegate. Please register on-line at
www.rotarydc2017.com
EXHIBIT TIMES
Starting at 4:00pm, Thursday, April 6th — Ending Saturday, April 8th at 4:00pm
Set-Up
Thursday, April 6th between 12:00 noon and 4:00pm
Tear Down
Saturday, April 8th after 3:00pm
QUESTIONS
Barbara Wilson
10712 107 Street
Westlock AB. T7P 1H7
email: [email protected]
Tel 780-349-5631
Fax 780-349-6301
Rotary District 5370
2017 CONFERENCE
Hosted by the
Westlock Rotary Club
CONTACT INFORMATION
Salutation:
First Name:
WAITING FOR?
Last Name:
Primary Email Address:
Organization / Rotary Club:
Address:
City, Province, Postal Code:
Work Phone:
Cell Phone:
Fax:
Name of the person exhibiting if different than above:
Electrical Requirements ___ Yes ___ No (bring an extension cord)
Payment Information
We accept Visa, Mastercard, American Express or Cheque.
Please Make Cheques Payable to “Rotary International District 5370” mail to the address
below. (Please write Booth Rental at District 5370 Conference 2017 on the cheque memo line)
Commercial
Exhibit Fee Only
Payment Amount:
Cardholder Name:
Rotary Clubs / Not-For-Profit
Exhibit Fee + Conference Registration
Payment Method:
Card number/exp:
Total Fee plus 5% GST$
Cardholder Signature:
CANCELLATION POLICIES
There will be no refunds for cancellations made after December 31, 2016.
Contact or Questions:
Please complete the application form and mail or fax, along with payment, to:
Barbara Wilson
10712 107 Street
Westlock AB. T7P 1H7
email: [email protected]
Tel 780-349-5631
Fax 780-349-6301