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Lions District 410E 2024 Midyear Conference
Registration Form
Golden Gate hotel booking
Registration Form
The details of your registration will be sent to you, including a unique registration number. Payment details will also be included in that email. Please use your registration number as a reference when paying.
Payment may be made in instalments. Full payment should be received by 20 October 2024.
If your registration is cancelled earlier than 30 days before your date of arrival, your payment will be refunded in full except for a R50 admin fee.
Cancellations later than 30 days before your date of arrival will not be refunded as the full expenses will already have been incurred for the registration.
Accommodation bookings can be made on this website - see
here
.
PLEASE SUBMIT A SEPARATE REGISTRATION FORM FOR EACH ATTENDEE, WHETHER THEY ARE A LION, A PARTNER IN SERVICE OR A CHILD.
Delegate's Details
First Name(s):
Attendee's first name or names. Please use a real name rather than a nickname - nicknames can however be used for the name badge.
Last Name:
Name Badge:
The name to appear on the attendee's name badge. eg Joe Bloggs; Lion John Doe; ZC Wendy Bloggs; PDG Jane Doe; Partner in Service Joe Bloggs
Lions Club:
Please select a club
Alberton
Amanzimtoti
Azalea (Lioness)
Ballito
Bedfordview
Bela Bela
Benoni Benoryn
Benoni Host
Benoni Lakes
Benoni Van Rhyn
Berlin
Bloemfontein
Boksburg
Bryanston Champions Cyper
Butterworth
Centurion
Centurion Lifestyle
Cowies Hill
Durban Host
Durban South
East Coast
East London Beacon Bay
East London Port Rex
Edenvale
Edenvale (Lioness)
Estcourt
Fort Beaufort
Germiston
Gonubie
Helderkruin
Henley On Klip
Hibberdene
Hilton
Howick-uMngeni
Kensington
Kimberley
King William's Town
Kingsburgh
Klerksdorp
Knysna
Komga
Kouga
Krugersdorp
Ladysmith
Letaba Tzaneen
Mafikeng
Manzini
Midrand
Nelspruit
Newcastle
North Durban
Northcliff
Phalaborwa
Pietersburg
Port Alfred
Port Elizabeth Cape Recife
Port Elizabeth Host
Port Elizabeth St Croix
Port Shepstone
Potchefstroom
Pretoria City
Pretoria Jakaranda
Pretoria South
Ramsgate
Reitz
Roodepoort Clearwater Cyber
Roodepoort Host
Rustenburg
Scottburgh
Shelly Beach
Standerton
Stilfontein
The Wilds
Uitenhage
Vereeniging
Vryheid
Weltevreden
Wilro Park
Other Club
For a Partner in Service or child, please select the Lions member's club
Cell Phone:
A cellphone number the attendee can be reached at if needed. This number may also be used for urgent SMSes for changes of plan during the conference.
Email Address:
Dietary Requirements:
Please be VERY clear with these requirements. eg halal, kosher, vegetarian, allergic to dairy
Special Access Requirements:
Please indicate any requirements for wheel chair access or the like, if applicable
Full Registration - Lions member - R880
Full Registration - Partner in Service or child - R730
Full Registration for Lions members includes:
Friday evening dinner
Saturday conference with lunch
Saturday evening theme evening
Full Registration for Partners in Service or children includes:
Friday evening dinner
Saturday lunch
Saturday evening theme evening
Breakfast on Saturday 9 Nov (R150 per person)
Breakfast on Sunday 10 Nov (R150 per person)
Breakfast is not included in the accommodation rates even if you are staying in the hotel. Please select here if you intend having breakfast in the hotel.
Submit Registration Form