Register Now!!
2017 Cosmopolitan International Convention Registration
July 27 – 29, 2017
Regina, Saskatchewan
US Registrations Only:
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Online at www.cosmopolitan.org
By mail to Cosmopolitan International, PO Box 7351, Lancaster, PA 17604
By fax to 717-295-7143
Canadian Registrations Only:
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By email to [email protected]
By mail to Cosmopolitan International Convention
c/o Shelley Duckett, PO Box 1266, Grenfell, SK S0G2B0
Phone 306-539-8923 for questions
Name _____________________________________________________________________________
Address ____________________________________________________________________________
City, State, Zip _______________________________________________________________________
Home Phone _______________________ Work _____________________ Cell ____________________
Email _____________________________________ Club ______________________________________
Package:
_____ Complete Package: $275 by July 1; $300 by July 17; no registrations accepted after July 17.
Ala Carte (if not selecting Package):
_____ Opening Ceremony Luncheon (Thursday), $35
_____ Royal Canadian Mounted Police Barracks Tour (Thursday), $50
_____ Friendship Dinner (Thursday); no registration charge
_____ CDF Luncheon (Friday), $35
_____ Wascana Park (Friday), $50
_____ IMAX/Science Center (Friday), $50
_____ Installation Luncheon (Saturday), $35
_____ Awards Banquet (Saturday), $75
Teen Program:
_____ Teen Package: $200 by July 17; no registrations accepted after July 17.
Name on Badge: _______________________________________________________________________
Are you a Cosmopolitan member? _________________________________________________________
Do you require any special accommodations? _______________________________________________
Badge Ribbons (please check all that apply):
_____ Past International President
_____ Past International Spouse
_____ CI Board (includes Governors)
_____ Governor-Elect
_____Club President
_____ First Timer
_____Delegate
_____CDF Board
_____CFC Board
_____ Beacon
_____ Emerald Beacon
_____ Ruby Beacon
_____Diamond Beacon
_____ Northern Beacon
Hotel Information:
The host hotel is the Ramada Plaza Hotel Regina, 1818 Victoria Avenue, Regina, Saskatchewan. Cosmopolitan has
blocked 80 rooms each night for July 26, 27, 28, and 29. Room rates are $129 CAD for one queen; $134 CAD for two
queens. For reservations, please call (800) 316-8704 or (306) 569-1666, extension 7200 or email
[email protected] or online at www.ramadaregina.com and indicate that you are with Cosmopolitan
International 2017 International Convention/CGCI17. To guarantee this rate, rooms must be reserved no later than July
5 at 12 p.m. CT. Any rooms blocked that are not reserved by this date will be released after 12 p.m. CT on July 5. Rooms
may be reserved at the reduced rate after this time, but availability is not guaranteed.
Airport Transportation:
Contact John Krysak at 306-537-5119 or [email protected] to make arrangements for airport-to-hotel transportation.
Alternatives are Uber or taxi service.
Payment Information:
VISA, MasterCard, American Express, and Discover are accepted.
_____ Credit Card No.: _______________________________________________________________
Expiration Date: ______________________________________________________________
Security Code (on back of card): _________________________________________________
Name on Card: _______________________________________________________________
Billing Address: _______________________________________________________________
Total Amount Billed: ___________________________________________________________
_____ Check enclosed. Mailing addresses above.
Convention fees payable by credit card, money order, or check.
No registration will be accepted without full payment. Payment must be received by July 17, 2017.
CANCELLATION POLICY: Cancellations received between July 1 and July 17 will be assessed a ten (10) percent cancellation fee. No refunds will be
made after July 17.
HOTEL REGISTRATION POLICY: Per board policy, due to the contractual agreement Cosmopolitan International has entered into with the
convention hotel that guarantees certain minimum numbers, any registered attendee that does not stay at the convention hotel will be subject to a
surcharge based on the additional fees charged to the convention when room guarantees are not met.