2011 Rotary 7980 CONFERENCE
Sturbridge, CT
May 12 - May 15th, 2011
----Secure Form----

Sturbridge Host Hotel & Conference Center
 
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If paying by credit card, address to right MUST be the billing address of credit card.
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Deposit $50 with this Registration (non-refundable)

Credit Card will be charged in three Payments
(33% on 10/15/10, 33% on 1/30/11, 33% on 3/15/11)

Health Issues we should know about:

FOOD SELECTION FOR SATURDAY NIGHT:

Qty Cedar Plank Salmon
Qty New York Sirloin

(Friday)

 
 

For unique requests or concerns, use the message field above top right
Click here for 2-beds otherwise 1-bed will be defaulted:

 SPECIAL NEEDS:  All rooms are Non-Smoking Room
Handicap Room
Special Meals
 
BADGE#1: NAME: Nick Name:
  CLUB:  
 
BADGE#2: NAME: NickName:
  CLUB:  
 
BADGE#3: NAME: NickName:
  CLUB:  
Questions/Concerns: email: Joe@GalaxyStar.com or call/fax (203) 389-6177 or write: Post Office Box 3945, Woodbridge, CT 06525-0945