Rotary District 5340

2009 District Conference Registration

Privacy statement: the information collected during registration will not be shared with any third party.
* = Required Field

Rotarian

*First Name:

*Last Name:

Badge Name:

*Club:

*Address:

*City:

*State:

*Zipcode:

*Phone (day):

Phone (eve):

*Email:

Spouse/Guest

First Name:

Last Name:

Badge Name:

Club:

Registration and Meal Options

Registration is available as a package price for $275. Package price includes all meals and breakout sessions. A La Carte is available as well: Friday Lunch, Friday Dinner or Saturday Dinner. Golf Tournament is not included in the package price. Check the corresponding boxes below.

Price
(each)

Rotarian

Spouse/
Guest

Golf

$80

Full Conference Package
(includes registration and all meals)

$275

      Friday Lunch ($30 for Interactors)

$40

      Friday Dinner

$75

      All Day Saturday

$175

Confirmation and Payment

When submitting this form, you will see a confirmation screen with the calculation of the Conference fee, and you will be able to pay online. Payment may also be sent by mail. Registration will not be complete until you select a payment option.

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