Please fill out the form to register or print out the below PDF and send it to:
Rotary Conference 2008 P.D.G. Dave Mayo, 10 Osprey Drive, JACOBS WELL QLD 4208
phone: 0428 729 355 Printable Registration Form (67.7 kb)
First Name: Surname: Address: P/C: Town/suburb: Phone: H W Mobile: Fax: Email: Rotary Club of: Rotary Title (PP, PDG, etc): Special dietary requirements:
(Private and for emergencies only)
Name: Relationship: Phone: H W
Printable Registration Form (67.7 kb)
