District 56 2011 Spring Conference
The Path to Wisdom
13–
May 13–14, 2011
Norris Conference Center
803 Town & Country Blvd. ▪ Houston, TX 77024
http://www.d56springconference.com/ Questions? E-mail: treasurer@toastmasters-d56.org
Installment Remittance Advice
Date
Last Name: First Name
Address:
City: State: Zip:
Daytime Phone: Evening Phone:
E-mail:
Installment information:
nd
2 Installment ($50) Check #: Check Amount:
rd
3 Installment ($40) Check # Check Amount:
NOTE: The Installment Payment plan must be paid via check or money order. The first installment ($50) is due
with submission of registration form. The second ($50) installment is due on March 15, 2011 and the final ($40)
installment is due on April 15, 2010. For questions, please call Pam Weiner at 713-858-2604 or David Rebeles at
281-300-8798.
Mail this form and check payable to District 56 Spring Conference to:
Toastmasters International District 56
c/o Bruce Hewitt, Treasurer
21702 Bevington Oak Court
Katy, TX 77450