2018 Registration form.

Thank you for your interest in attending the 2018 Rotary District 9910 Conference in Kerikeri.

The cost for attending the whole conference is $195.00. If your partner wishes to attend they can either register for the entire conference ($195.00), or for Friday night welcome drinks plus Saturday night dinner only ($95.00).

Attendee First Name*
Last Name*
Partner First Name
Last Name
Contact Phone Number*
Club
email*

If your partner is attending, would they like to attend the entire conference or just the Friday night drinks and Saturday dinner?

Whole conference ($195.00)Friday drinks and Saturday dinner only ($95.00)Not applicable

Will you be attending Friday night's welcoming drinks (5 to 7pm at the Turner Centre)

YesNo