Select one: This is my Original registration This is my Update to add a la carte events
IMPORTANT: Complete the entire form for Original or Update registration |
| This is my 1st District 5150 Conference . YES NO I am interested in: |
| Golf |
Poker |
| Hotel Accomodation in SF |
Helping with Conference |
| My Name: |
Spouse/Guest Name: |
| My Club Name: |
Spouse/Guest Club Name: |
| My Call name for badge: |
Spouse/Guest Call Name for badge: |
My Classification:
Spouse/Guest Classification if Rotary: |
| My address: |
| My Email: |
| Tel #: |
Fax #: |
My Conference Fee Selection. Check one.
Full Conference - Rotarians & Guests - $325/person
Full Conference - Rotaract/Interact - $245/person
Full Conference - Rotarians & Guests - Balance owed after $75 deposit - $220/person
Friday Only - Entire Day - $125/person
Friday Lunch Only - $25/person
Hornblower Cruise Only - $149/person
Friday Only & Hornblower Cruise Only - $274/person
Saturday Only - Entire Day - Includes Hornblower Cruise - $200/person |
Hold CTRL key down to select one or more Special a la carte events for April 15, 2010
ALERT: Golf 1st Tee Time is 10am. Players please gather @ Club by 9:30am
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| I will pay by Credit Card #: by personal Check: |
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Thank you! After clicking Register Me Now! you will be taken to the On-Line Payment Page. Please read instructions there (-: |
William Koefoed
