View Registered Attendees List
RI Convention in Singapore, May 25-29,2024
Come back to this form anytime to add and edit information.  
Any questions, please email DGND Nancy at nancyd5000rotary@gmail.com
Contact Information
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User Name:
Password:
Your Information
First Name:
  
Last Name:
  
Badge Name:
Email:
  
Club Name:

Preferred Phone:
Secondary Phone:
Address 1:
Address 2:
City:
Zip/Postal Code:
Country:
State/Province:
What hotel are you staying at?:
Check-in date, Check-out date. If you signed up for the D5000 room block, email any changes to masuno1@aol.com. Rotary needs to confirm the change.:
Your Partner/Guest Information
First Name:
Last Name:
Badge Name:
Email:
Club Name:

Preferred Phone:
Secondary Phone:
Address 1:
Address 2:
City:
Zip/Postal Code:
Country:
State/Province:
What hotel are you staying at?:
Check-in date, Check-out date. If you signed up for the D5000 room block, email any changes to masuno1@aol.com. Rotary needs to confirm the change.:
 
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