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Live Your Dream Awards
Meetings
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Register for the 2022 NWR Conference
Early Bird Deadline: March 28,2022
"
*
" indicates required fields
Contact Information
Name
*
First
Last
Email
*
Phone
*
Soroptimist International of
*
District #
*
I'm a...
*
First Timer
Club Member
Delegate
Club President
Current Region or District Leader
Guest
Which option best describes you.
Would you like to pay online or via check?
*
Pay Online
I'll send in a check.
Meal Options
Would you like to purchase the meal package?
Yes, I would like the full meal package. - $325
No, I'd lke to purchase just a few meals.
Saturday Dinner Option:
*
Beef
Salmon
Individual Meal Options
Friday Lunch - $54
Friday Dinner - $70
Saturday Breakfast - $46
Saturday Lunch - $54
Saturday Dinner - $74
Sunday Breakfast - $39
Saturday Dinner Option:
*
Beef
Salmon
Dietary Restrictions:
Meal Total
Registration Fee
Registration Total
Please write a check for this amount and send it to the address below.
Registration Total
Please write a check for this amount and send it to the address below.
Mailing information
Early Bird Registration Deadline: Postmarked on or before March 28,2022
Regular Registration Deadline: Postmarked between March 29, 2022 - April 11, 2022
Late Registration Deadline: Postmarked after April 11, 2022
Mailing Address:
Theresa Heidt-Vanderschoot, Registration Chair
652 SW Ford Lane
Culver OR 97734
Meal Options
Would you like to purchase the meal package?
*
Yes, I would like the full meal package. - $325
No, I'd like to purchase just a few meals.
Saturday Dinner Option:
*
Beef
Salmon
Individual Meal Options
Friday Lunch
Friday Dinner
Saturday Breakfast
Saturday Lunch
Saturday Dinner
Sunday Breakfast
Saturday Dinner Option:
*
Beef
Salmon
Dietary Restrictions:
Payment
You will receive a copy of your receipt.
Registration Fee
*
Price:
Processing Fee
*
Price:
Total
Payment
Card Details
Cardholder Name
Billing Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code