REGISTRATION FORM
GFWC – GREAT LAKES REGION CONFERENCE
October 27TH–30TH, 2016
Grand Geneva Resort and Spa
7036 Grand Geneva Way Lake Geneva, WI 53147

Name: _______________________________________________________________________

Address: ________________________________________E-mail________________________

City: ________________________________State: ________Zip:_________________________
              __Home
Phone: __Cell ________________________Officer/Chairman: __________________________

Club/District/State Affiliation: _________________________/___________________/_______

Registration Fee:                                                            $25.00                           __________________
A late fee of $25 will be added with a postmark after the due date.
Thursday – Nibble, Sip and Paint                                 $40.00                          __________________
Nibble on Heavy Hors D’oeuvres, Sip a Glass of Wine and Paint your own Masterpiece!
Friday – Lake Geneva Boat Tour                                  $35.00                          __________________
Tour Lake Geneva, learn about the History of many famous homes.  Lunch on your own in the downtown area.  Many lovely restaurants to choose from and some great shopping too!
Friday – WI State Night – Oktoberfest                        $35.00                          __________________
Enjoy an Authentic German dinner with some fun polka music.
Saturday – Lunch                                                            $28.00                          __________________
Tomato Bisque Soup, Vegetable Lasagna, Chef Choice Dessert
Saturday – Banquet                                                        $39.00                         ___________________
Tossed Salad, Scaloppini of Chicken with sides and Chocolate Mousse
Sunday – Breakfast Buffet                                             $32.00                         ___________________
Juice, Seasonal Fruits and Berries, Fresh Bakery-Croissants, Danish, Muffins, Bagels, Scrambled Eggs, Bacon, Herb Roasted Potatoes
Mini Mart Space                                                              $10.00                          __________________
-FOR GFWC GLR FUNDRAISING- 
Opportunity Basket Tickets  Qty of 20 	 		$20.00		     _________________
Total Enclosed                                                                                                        __________________

Please indicate any dietary restrictions: _________________________________________________

Make Checks Payable To:       GFWC Great Lakes Region - WI
Send Registration To:              Jan Flood
                                                    1832 Illinois Ave, Stevens Point WI  54481
                                                    715-344-8283      janflood@att.net

Registration must be postmarked by September 19,2016.  NO REFUNDS AFTER OCTOBER 21, 2016