Conference Registration- 2025

Thank you for registering for Conference

Please complete each field with an *
If you have a guest please complete their details as well.
The rate for the conference is £49 for each registration until 31 July 2025 after which it is £59.
Please pay electronically to
Rotary International GB & Ireland District 1210
Sort Code 40-41-30
Account No. 21417495
using “CONF” as the transaction Description.
If cheque payment is preferred please make payable to
Rotary International GB & Ireland District 1210 and with the amount payable and post to
Peter Seaward
14 Aston Close
Wellington
TELFORD TF1 3DG

Your Club

Your Name *

First

Last

Name restrictions First

Email *

Confirm Email

Prefered phone contact number

The hot buffet lunch will cater for most but there should be a selection to suit all requirements and it would be useful for an indication to ensure there is enough for all. Please respect the Hotels allergies advice

Please add any dietry restrictions or requirements

Mobility Requirement if any

If you have a guest please add their details. First are they a Rotarian

Guest Name

First

Last

Confirm Email

Phone

Please add any dietry restrictions or requirements

Mobility Requirement if any (copy)

The rate is £49 for each registration until 31 July 2025 after which it is £59. Please pay electronically to

Rotary International GB & Ireland District 1210

Sort Code 40-41-30

Account No. 21417495

using “CONF” as the transaction Description.

If cheque payment is preferred Make payable to Rotary International GB & Ireland District 1210 please with the amount payable and post to

Peter Seaward

14 Aston Close

Wellington

TELFORD

TF1 3DG

pspeterg@aol.com

07506490710