Name Partner
Address
City State Zip
Phone E-Mail
Rotary Club
Please check all pertinent categories:
Registration and meals for Rotarians and partners are free of charge. Please indicate the number attending each session listed below:
Thursday, August 27
Friday, August 28
Continental Breakfast
Saturday, Aug 29
Sunday, Aug 30
Please list any special dietary needs:
To register for the conference, please complete this form and submit. Registration forms must be received by July 25, 2009. Please contact Mary at merrigam@sanfordhealth.org for additional information.