Rotary District 5610

2008 Conference Registration Form

September 11, 12, 13 & 14, 2008

Marina Inn – South Sioux City, Nebraska

Name ___________________________________     Partner _________________________________

Address: _________________________________________________________________________

City, State & Zip: ___________________________________________________________________

Phone: ____________________________      E-Mail: _______________________________________

Please circle all categories that pertain to you: Paul Harris Fellow, Club President, Club Secretary, Past District Governor, Assistant District Governor, Committee Chair.  Perfect attendance for ______ years.

Please circle all categories that pertain to your partner: Paul Harris Fellow, Club President, Club Secretary, Past District Governor, Assistant District Governor, Committee Chair.  Perfect attendance for _____ years.

Registration for Rotarians and partners are free of charge.  Please select the number attending each session listed below.

                                                                                                                               Number attending

Thursday, September 11 -- Leadership Committee Meeting                                 _______

(DG, DGE, DGN, PDG, AG, District Committee Chairpersons)                                                                                                               

Friday, September 12

              Continental Breakfast                                                                                       _______

              Golf                                                                                                                   _______

              Luncheon                                                                                                          _______

              Banquet                                                                                                             _______

Saturday, September 13                                                                 

              Continental Breakfast                                                                                        _______

              Luncheon                                                                                                           _______

              Dinner                                                                                                                 _______

Sunday, September 14

              Breakfast                                                                                                             _______

List special dietary needs: ____________________________________________________________

To register for the conference, please use this form and mail to:

Susan Hughes

Conference Registration

1601 Mt. Rushmore Road, Suite 3-PMB212

Rapid City, SD 57701

If you include an e-mail address or SASE, you will receive confirmation.  Registration information must be received by August 22, 2008.  Onsite registrations will NOT include meals.  Please contact Susan if you have questions.  susan@rotary5610.org.

For hotel reservations call the Marina Inn: 402-494-4000 by August 22, 2008