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2006 Mid-Winter Conference Registration Form

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Please complete the following registration form.

  • Items marked with a red square are required. 
  • Refunds will not be issued after January 15 due to meal commitment.
  • Please list names as they are to appear on name tag.
(Required)
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Kansas Kiwanis Foundation Board of Trustees Meeting (1:30-3:30 p.m.)
(Required)
Kansas District Board of Trustees Meeting (4-6 p.m.)
(Required)
Regular Registration ($25 through 1-10-06) DOES NOT INCLUDE LUNCH
(Required)
Late Registration ($35.00 after 1-10-06) DOES NOT INCLUDE LUNCH
(Required)
Awards Lunch Ticket ($10 each)
(Required)
Past Governor
Sponsored Youth
Guest Tour Ticket ($15 each)
(Required)