Submit a Prospective Member

Registration for An Evening with the RI Presidents 2019

Friday, May 31, 2019

6 pm Cocktails, 7 pm Dinner
Grand Elysee Hotel, Hamburg

Dinner choices are as follows:
1) Truffled corn-fed poularde breast with roasted portobello mushrooms and market vegetables
2) Vegetarian: Filled eggplant with mozzarella, roasted spring onions and market vegetables

Fill the registration form and click "Register" to go to the secure online payment page.

Registration Information

Cost is $110 per person

Rotarian Firstname:

Lastname:

District:

Club:

Choice:

DG Year:


Leave spouse name blank if spouse is not attending.

Spouse Firstname:

Lastname:

Choice:


Additional Guests ($110 each):

Guest1 Firstname:

Lastname:

Choice:

Guest2 Firstname:

Lastname:

Choice:

Guest3 Firstname:

Lastname:

Choice:

Guest4 Firstname:

Lastname:

Choice:

Billing Address

Address:

City:

State:

Zip:

Country:

Email:

Phone:


      

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