Privacy statement: the information collected during registration will not be shared with any third party. * = Required Field
Rotarian (US$185)
* First Name:
* Last Name:
Call Name:
* District:
* Rotary Club:
Year Gov:
Year Dir:
Year RI Pres:
* Address:
* City:
* State:
* Zipcode:
* Country:
* Home Phone:
Fax:
* Email:
Years attended Past Institutes:
Current RI Pos:
Check this box if you would be interested in receiving some information about our Home Hospitality program to be hosted by a Rotarian in Southern California/Arizona/Baja Mexico during the 4 days following the Past Officers Reunion (January 19-23, 2008).
Partner/Spouse (US$90)
Leave blank if not registering a Partner/Spouse.
First Name:
Last Name:
Rotarian
Rotary Club:
Confirmation and Payment
When submitting this form, you will see a confirmation screen with the calculation of the Conference fee, and you will be able to pay online. Payment may also be sent by mail. Registration will not be complete until you select a payment option.
Rotary International | Reunion Main Page
