Register & Pay Online

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Payment enquiries:
Contact Conference Treasurer
Geoff Caddy
Phone: 03 5243 6977
Email: treasurer@rotaryhightonkardinia.com.au

Registration enquiries including difficulties & faults with the registration process:
Contact
Geoff Leigh
Phone: 0433 579 335
Email: g.leigh @rotaryhightonkardinia.com.au

Other enquiries:
Contact Conference Secretary
Geoff Leigh
PO Box 618
Belmont 3216
Phone: 0433 579 335
Email: g.leigh@rotaryhightonkardinia.com.au

To Register & Pay Online:

Complete the registration form below.
Print the form and check the details.
Open the 'PayPal Shopping Cart Options' in a new window
by clicking on the logo at the bottom of the page.
Once you have finished paying online, finalise your registration
by returning to this page and clicking on the 'Submit' button.

PLEASE REMEMBER step 4. of this registration process as it enables us to correctly record the details of your Conference attendance intentions.

A confirmation email will be sent to you within 3 working days of receival of your registration details. If you do not receive this email please contact the Secretary immediately.

Fields denoted with an asterick (*) are compulsory

1. Complete this registration form below

Rotarian

Surname *
First Name *
Badge Name
Dietary or Other Special Requirements
Phone Work
Phone Home *
Phone Mobile
Email *
Address *
Suburb/Town *
Postcode *
Rotary Club *
Rotary Title
Will you be accompanied to this event? YesNo

Accompanying Person / Rotarian

Surname
(Please supply if you you are to be accompanied)
First Name
(Please supply if you you are to be accompanied)
Badge Name
(Not required if not a Rotarian)
Dietary or Other Special Requirements
Phone Work
Phone Home
Phone Mobile
Email
Address
Suburb/Town
Postcode
Your Rotary Club if a Rotarian
(or Rotarian's Club as above)
Rotary Title

Conference Costs (including GST)

Please replicate the selections you make in step three, in the table below.

	Rotarian	Accompanying Person
All Conference Sessions Including Saturday Dinner & Entertainment $185.00 per person
All Conference Sessions Excluding Saturday Dinner & Entertainment $140.00 each person
Friday Only $40.00 per person
All Saturday Sessions Including Breakfast, Dinner & Entertainment $160.00 per person
Saturday Dinner & Entertainment Only $60.00 per person
Sunday Sessions Including Lunch $35.00 per person
As Add On To Any Item Above: Sunday Breakfast With RI Representative $15.00 per person
Total	$

2. Print the form and check the details.

Before you submit this registration form, you must first print this form. To print this form simply click on the printer icon. If you change any of your registrations details after printing, you will need to print off another copy of this form.

3. Click here to open the PayPal Shopping Cart buttons in a new window. This PayPal section also has a facility to pay by Credit Card.

MOST IMPORTANT:
Once you have completed your PayPal transaction, you MUST return to this page and finalise this registration by clicking the Submit button below.