? Booking Form
paying by cheque or online pay Total Amount Amount:

Forename*

I thought that after two years, I knew replica handbags that Beatrice was a small gucci replica handbag in Pierre's many hermes replica handbags . I didn't expect it to be handbag replica positive result. Beatrice transformed this "night club little prince" into a happy replica handbags .

Surname*

Club*

E-Mail*

2nd  DELEGATE DETAILS 1st DELEGATE DETAILS

* required field

*

*

*

First attendance at a District Conference

Club President 2016 - 17

Past District Governor

District Officer

Check box if:

Saturday 7pm - District Governor’s Dinner   

Quantity

Amount £

Badge name [preferred]

*

Telephone*

Mobile

Any Dietary Requirements

9am - 5.30pm Conference day registration     fee £35 **

Please complete requirements for each event

Please complete requirements for each event

** Please note that these prices will increase on the 1st October 2016 to £35 per person for the day registration

Paying by: [please tick]

cheque

Pay Online

Dinner dress code: Smart Casual

*

*

SOLD OUT - Contact Alan Forsdike to be added to waiting list

Booking Form Conference 2016

Saturday 15th October 2016 Trinity Park, Ipswich.

Price

£35.00

Conference registration

Saturday 7pm - Conference Dinner

SOLD OUT ! - Please contact Alan Forsdike to be added to a cancellation waiting list

Derek & Deirdre will be pleased if you and your guest(s) can join them at this year’s Annual Conference.

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

 To book your place(s):

  1. Please complete the booking form below with your details and click “Submit to register”.
  2. To pay online - choose your options for attending from the online payment section and add to the basket.
  3. Once completed click the “Checkout” button at the top right drop down panel to pay by Card or PayPal.
  4. If you prefer to pay by cheque then simply submit the form and make the cheque payable to “District 1080 Conference”
    and send the total amount to Rotarian Alan Forsdike, Hill House, 2 Henley Road, Ipswich, IP1 3SF


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


Online you can pay either by Debit / Credit card or by PayPal [if you do have an account with them] you choose your preferred option AFTER clicking the “Checkout” button on the drop down payment panel.


Any queries to:  registration@conference2016.rotary1080.org.uk - Alan Forsdike, Registration Officer.
or
Telephone: 01473 252904