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Rotary District Conference 2008 Registration

Required fields have been marked with *

FIRST NAME *	MIDDLE	LAST NAME *	BADGE NAME *	PARTNER NAME (if attending)

ADDRESS *	ADDRESS (line 2)

CITY *	STATE/PROVINCE *	ZIP/POSTAL CODE *	COUNTRY *

WORK PHONE *	HOME PHONE *	MOBILE PHONE *

FAX *	EMAIL *	EMAIL (confirm) *

ROTARY CLUB *

CHECK ALL THAT APPLY

Past District Governor
PDG Partner/Spouse
Club President
Club President Partner/Spouse
Assistant Governor
Asst. Gov Partner/Spouse
Club President-Elect
Club President-Elect Partner/Spouse
Club Secretary
Club Secretary Partner/Spouse
Paul Harris Fellow
Foundation Benefactor
Foundation Bequest Society
Foundation Alumnus
Past R.I. Director
District Committee Chair
Sergeant-at-Arms
New Rotarian < 1 Year
1st Time Dist. Conf. Attendee

Complete Meal Package # Persons:
If you are not registering for Complete meal package, you may select individual meal events below:
Friday Lunch # Persons:
Friday Night Zoo Package # Persons:
Saturday Breakfast # Persons:
Saturday Lunch # Persons:
Saturday Banquet # Persons:

District Conference Registration
We've sold out our original room block at the Doubletree Hotel in Memphis. A contract is being drawn up with Holiday Inn Select. The rate is $149.00 for a $199.00 regular price room with 2 doubles or one king.

A direct link will be provided as soon as it becomes available.

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