2010 CONVENTION REGISTRATION
Secure Individual Online Registration

95th Annual Kiwanis International Convention / June 24–27, 2010 / Las Vegas, Nevada USA
Instructions
Cancellation and Refund Policies
Hotel Accommodations
Notice
By attending the Kiwanis International convention or related activities, registrants agree to be photographed by any means, including still photography and video, and allow Kiwanis International the right to use photos, video or film likeness for any purpose without compensation or notice.
* Required fields     
 
Registration Fees
All events take place in the Las Vegas Convention Center unless otherwise noted.
Kiwanian: US$250  
Postmarked after January 31, fee increases to $250
 US$
California-Nevada-Hawaii host district volunteer: US$250
Postmarked after April 1, fee increases to $250
 US$
Non-Kiwanian guest (age 21 and over): US$125 x    
Postmarked after January 31, fee increases to $125
 US$
Youth (under age 21): US$0    
 US$
 
After May 25, you must register on-site: Kiwanian US$300; Volunteer US$300;
     Non-Kiwanian US$150
Optional Ticketed Events  
Key Leader for Adults
Wednesday, June 23, 9 a.m.–4 p.m.
Experience the program—customized for adults!
Space is limited. First come, first served.
Tickets at US$50 each:       US$
Fellowship Breakfast
Thursday, June 24, 7 a.m.
Keynote speaker to be announced
Space is limited. First come, first served.
Tickets at US$35 each:       US$
SLP Alumni Reunion
For Key Club and Circle K alums
Thursday, June 24, 7 p.m.
Space is limited. First come, first served.
Tickets at US$0 each:       US$
Leadership Luncheon
Friday, June 25, 11:30 a.m.
Keynote speaker: Cory Johnson
Space is limited. First come, first served.
Tickets at US$45 each:   Sold Out     US$
Kiwanis Friday Night Event  
Friday, June 25, 8 p.m.
Jay Leno Live
Space is limited. First come, first served.
Tickets at US$40 each:   US$
Kiwanis Breakfast
Saturday, June 26, 7:30 a.m.
Keynote speaker: Jerry Mathers

Space is limited. First come, first served.
Tickets at US$35 each:   US$
Worldwide Service Project Luncheon
Saturday, June 26, 11:30 a.m.
Keynote speaker to be announced

Space is limited. First come, first served.
Tickets at US$45 each:   US$
Saturday Night at Cirque du Soleil
Saturday, June 26, 7 p.m.
TM at MGM Grand

Space is limited. First come, first served.
Adult Tickets at US$100 each: Sold Out
US$
Youth Tickets (ages 5-12) at US$50 each Sold Out
       (must be 5 years or older to attend):
US$
            Total due
             Registration and Event Tickets
US$
Payment Method
Fees must be paid in US funds and drawn on a US bank. Please complete the following section. ALL fields are required.  
Credit card type: *      
Card number: *      
Expiration (mo/yr): * /      
Name on card: *  
Billing address: *  
City: *  
State/province: *  
Postal code: *  
Country: *  
Check if:
Attendee Information
Please complete all fields in order to process your application more quickly.
District:  
Member ID:
Don’t know your membership ID? Check your Kiwanis Magazine label or call 800-549-2647, ext. 411 (US and Canada) during business hours (8:30 to 4:45 p.m. EST) or 317-875-8755, ext. 411, to request help. If outside business hours, you may leave blank.)
Name of your club: *  
Club key number: K   
Last name: *  
First name: *  
Badge name (if different):
Please be sure you have entered the correct number of guests under “Registration Fees” above.
Paid spouse/guest 1:   
Paid spouse/guest 2:  
Youth 1:
Youth 2:
Mailing address: *  
City: *  
State/province: *  
Postal code: *  
Country: *  
Daytime phone: *  (ex: 000-000-0000) 
Ext.:
Fax:  (ex: 000-000-0000)
E-mail: *    
A valid e-mail address is required to submit this registration.
Retype your e-mail: *    
By providing my e-mail address, I understand I am opting in to receive Kiwanis International information.
 
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Hotel Accommodations
Upon final submission of this registration form, you will be offered a link to secure a hotel reservation through ConferenceDirect. Housing may also be secured directly through our convention hotel partners – see details on the Kiwanis International convention Web site at www.kiwanisOne.org/convention.

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