RI Zones 30-31 Institute 2010

Last Name *: 

First Name for Badge *: 

Rotary Club of *: 

E-mail Address *: 

Contact Phone *: 

Rotary Position 2010-11 *: 

(Position you will hold in 2010-11)

District Number *: 

Vegetarian Meals: 

No
Yes

Volunteer to Serve: 

Yes
No
(I will volunteer to serve at Institute in the following capacities: 1=first choice, 2=second choice, etc. click arrow beside duties listed below to select.)

Sgt.-at-Arms: 

- 1 2 3 4 5 6

Registration Desk: 

- 1 2 3 4 5 6

Recorder: 

- 1 2 3 4 5 6

Event Coordinator: 

- 1 2 3 4 5 6

House of Friendship: 

- 1 2 3 4 5 6

Rotary Choir: 

- 1 2 3 4 5 6

Spouse/Guest Last Name: 

Spouse/Guest First Name - Badge: 

Guest's Rotary Club: 

Guest's Rotary Position 2010-11: 

Guest's Vegetarian Meals: 

No
Yes

Volunteer to Serve: 

Yes
No
(My guest will volunteer to serve at Institute in the following capacities: 1=first choice, 2=second choice, etc. click arrow beside duties listed below to select.)

Registration Desk: 

- 1 2 3 4 5 6

Sgt.-at-Arms: 

- 1 2 3 4 5 6

Recorder: 

- 1 2 3 4 5 6

Event Coordinator: 

- 1 2 3 4 5 6

Rotary Choir: 

- 1 2 3 4 5 6

House of Friendship: 

- 1 2 3 4 5 6

DGE & Spouse Seminar Aug.24-26: 

DG 2011-12
Spouse/Guest
(No fee payment required at this time. Billed to district.)

DGN & Spouse Seminar Aug. 24-26: 

DG 2012-13
Spouse/Guest
(No fee payment required at this time. Billed to district.)

DG & Spouse Seminar Aug. 26: 

DG 2010-11
Spouse/Guest
(No fee payment required at this time. Billed to district.)

District Trainer Aug. 25-26: 

0 1 [+$60.00] 2 [+$120.00]
(Facilitating Strategic Planning for Clubs and Districts)

Rotary Institute Aug. 26-29: 

Registrant [+$295.00]
Spouse/Guest [+$295.00]

Wednesday Dinner (optional*): 

0 1 [+$44.00] 2 [+$88.00] 3 [+$132.00] 4 [+$176.00] 5 [+$220.00] 6 [+$264.00] 7 [+$308.00] 8 [+$352.00] 9 [+$396.00] 10 [+$444.00]
(included for DGN's, DGE's, DG's & guests/spouses. Available for District Trainer participants, early Institute arrivals & guests)

Grand Ole Opry (optional): 

0 1 [+$25.00] 2 [+$50.00] 3 [+$75.00] 4 [+$100.00] 5 [+$125.00] 6 [+$150.00] 7 [+$175.00] 8 [+$200.00] 9 [+$225.00] 10 [+$250.00]
(Trip to Grand Ole Opry)

I preregistered in Tulsa: 

None 1 Pre-egistration discount [-$25.00] 2 Pre-egistration discounts [-$50.00]

Early Discount before June 15: 

None 1 Registration [-$25.00] 2 Registrations [-$50.00]