Course Day – ONLINE

    Date: Sunday, August 2, 2020 (6:30 to 8:30 p.m.)
    Tuesday, August 4, 2020 (6:30 to 8:30 p.m.)
    Sunday, August 9, 2020 (6:30 to 8:30 p.m.)

    Fee: $25.00 per person payable via credit card or Paypal account using this form. Fee is non-refundable unless event or course is cancelled.

    Location:
    ON-LINE


    Course Selection (required):
    THIS IS ONLY PART II.
    Part II

    Your Full Name (required):

    Your Badge Name (required):
    The name you want others to call you (i.e., your first name).

    Your Address (required):

    Your City (required):

    Your State (required):

    Your Zip (required):

    Best Telephone Number to Reach You (required):

    Your Email (required):

    Your Rotary Club (required):

    Your District Number (required):

    Years in Rotary (required):

    Terms and Conditions (required):
    Registration fee ($25.00) is non-refundable unless event or course cancelled.

    I Agree To and Accept Terms and Conditions