Forename*

Surname*

Club*

E-Mail*

Spouse / Partner Primary Rotarian

District Officer

Check box if:

Badge name

Telephone*

Mobile

Any Dietary Requirements

3rd  Guest 4th Guest

Club President 2017 - 18

Please complete requirements for each event   

ONLY PRESS “ADD TO BASKET” FOR ITEMS YOU WANT THEN “CONFIRM CHOICE”

   If you wish to sit together at the banquet please do NOT register separately simply complete this form for all the guests/ spouse / partner with the primary Rotarian

Primary Home  Address*

View Basket

**You pay 50% of the relevant registration fee

View Basket

Friday 20th October 2017

Saturday 21st October 2017

Sunday 22nd October 2017

Please Confirm  Choice:

Event     Number

Please Confirm  Choice:

Event     Number

Please Confirm  Choice:

Event     Number

Please Confirm  Choice:

Event     Number

Click:

Click:

Tick:

FW:

Sat:

Sun:

NOTE: You can view basket to delete or edit

 # price shows in basket

Tick:

This year we only require volunteers to “Meet & Greet” fellow delegates

This is an informal role with limited stewarding responsibilities

Please indicate if you can help  ….

DON’T FORGET TO CLICK TO REGISTER BEFORE YOUR CHECKOUT PAYMENT


NOTE: You can view basket to delete or edit

DON’T FORGET TO PAY PLEASE

AFTER REGISTERING

You will be returned to the checkout after submitting registration  
NOTE: YOUR DETAILS WILL BE BLANK but just click “checkout” to pay

Booking Form - Bournemouth

Saturday/Sunday 21st & 22nd October 2017

If you would prefer to register and pay by post please  >>click here<< to download the PDF form

 To book your place(s):

  1. Please complete the booking form below as required
  2. Choose your events from the Registration Section and for each choice click “add to the basket” button
  3. Now scroll to bottom and click “submit to register” … then pay by clicking the “checkout button”

NOTE: YOU DON’T NEED TO HAVE A PAYPAL ACCOUNT TO PAY ONLINE



Cost:

Full Weekend

Number attending:

£62.00

£32.00

Saturday only

Sunday only

£32.00

£0.01

First time attendees

Golf - Friday 20th October

£55.00

Purbeck Golf club at 11.00. includes coffee and bacon roll on arrival

"Jimmy Cricket" & Emily Reed at the BICC Centre at 20.30

Evening entertainment

£15.00

3 course dinner [dress code is black tie] arrive 19.00 for 19.15

Banquet & Ball:

£47.50

Dress code Black Tie, from 21.30

Dance only

£15.00

2 courses roast beef - 14.15 at the Hermitage Hotel

£20.00

Post Conference Lunch

[suggested donation £1 per crocus]

Purple Crocus Buttonhole

£1.00

If you have any query or wish to clarify anything please contact Becky Turner on  conference@rotarysoutheast.org or call 07540 600847