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Rotarian

* First Name: * Last Name: Call Name: * District: * Rotary Club: * Address: * City: * State: * Zipcode: * Country: * Home Phone: Fax: * Email: Select a Registration Package District Governor Nominee (2012-13) ($575) District Governor Elect (2011-12) ($575) District Governor (2010-11) ($400) District Resource Leader ($175) Past District Governor / Zone Staff ($175) Past District Governor ($175) Director / Trustee ($175) Director Elect ($175) Past Director / Past Trustee ($175) The Institute for Leadership (RYLA for Rotarians) ($225) Guest ($175) DG Year: Select a registration package above to see the description of what is included. Includes Bonding Dinner on Tuesday, September 14, 2010 Training and all meals on Wednesday, September 15, 2010 Training, Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Includes Bonding Dinner on Tuesday, September 14, 2010 Training and all meals on Wednesday, September 15, 2010 Training, Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Includes Bonding Dinner on Wednesday, September 15, 2010 Training, Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Includes Bonding Dinner on Wednesday, September 15, 2010 Training, Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Training and all meals on Tuesday, September 14, 2010 Training and all meals on Wednesday, September 15, 2010 Training, Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 Institute Program and all meals on Thursday, Friday, September 16 - 17, 2010 Class Reunion Dinner - Albuquerque International Balloon Museum Tour of the Albuquerque International Balloon Museum Institute Program, and all meals, Saturday, Sunday (Morning), September 18, 19, 2010 We have set aside Saturday afternoon for participants to enjoy New Mexico ("The land of Enchantment")  Please select a local activity you would like to do for Saturday, Sep 18, 2010 (1 to 5 pm) - Transportation will be provided. No Activity Hot Air Balloon Ride Casino Golf Tournament Local Rotary Project Run/Walk for Polio Trip to Santa Fe Local Shopping in "Old Town" Please check this box if you would like to receive transportation to / from the airport provided by local Rotarians. Please check this box if you would like to sing with the "Zone Tones" at the Zone 2010 Institute.

Partner/Spouse

Leave blank if not registering a Partner/Spouse. First Name: Last Name: Call Name: Rotarian No Yes Club (if Rotarian) We have set aside Saturday afternoon for participants to enjoy New Mexico ("The land of Enchantment")  Please select a local activity you would like to do for Saturday, Sep 18, 2010 (1 to 5 pm) - Transportation will be provided No Activity Hot Air Balloon Ride Casino Golf Tournament Local Rotary Project Run/Walk for Polio Trip to Santa Fe Local Shopping in "Old Town"

Confirmation and Payment

When submitting this form, you will see a confirmation screen with the calculation of the Conference fee, and you will be able to pay online. Payment may also be sent by mail. Registration will not be complete until you select a payment option.