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RI Convention in Taipei, June 13-17, 2026
Come back to this form anytime to add and edit information.
Any questions, please email DGN Rich Proctor at rotaryrich1@gmail.com
Secure a room in the D5000 block by Oct 15 and make the $400 deposit by Oct 27, 2025

Contact Information

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User Name:

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Password:

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New and existing users: retrieve username and/or reset password

Your Information

First Name:

Last Name:

Email:

Club Name:

Preferred Phone:

Address 1:

Address 2:

City:

Zip/Postal Code:

Country:

State/Province:

I'd like a room in the D5000 block at the Fullon Taipei East Hotel. Commitment due in Oct 15 to secure your room. Choose room size below:

YesNo

What hotel are you staying at, if not in the D5000 block?:

Check-in date, Check-out date.:

Jun 14 -I signed up for Host Hospitality night:

YesNo

I consent to the collection, storage, and use of my information by Hawai'i Rotary District 5000 as described in this Privacy Policy. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time. Required

Your Partner/Guest Information

First Name:

Last Name:

Email:

Club Name:

Preferred Phone:

Address 1:

Address 2:

City:

Zip/Postal Code:

Country:

State/Province:

I'd like a room in the D5000 block at the Fullon Taipei East Hotel. Commitment due in Oct 15 to secure your room. Choose room size below:

YesNo

What hotel are you staying at, if not in the D5000 block?:

Check-in date, Check-out date.:

Jun 14 -I signed up for Host Hospitality night:

YesNo

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