Conference Registration 2025Please enable JavaScript in your browser to complete this form.ClubName *FirstLast dietry restrictions Email AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeEmail *EmailConfirm EmailPhoneRegistrationConference Day Rate – $50.00Conference Dinner – $40.00Please add any dietry restrictions or requirementsMobility Requirement if anyPlease enter the details for your guestCheckbox ItemsRotarianNon RotarianNameFirstLastEmailEmailConfirm EmailPhoneRegistrationConference Day Rate – $50.00Conference Dinner – $40.00Please add any dietry restrictions or requirementsMobility Requirement if any (copy)Please pay electronically toRotary International GB & Ireland District 1210Sort Code 40-41-30Account No. 21417495using “CONF” as the transaction Description. If cheque payment is preferred please post the amount payable toPeter Seaward 14 Aston CloseWellingtonTELFORDTF1 3DGpspeterg@aol.como7506490710/p>Submit
