Visitor Attendance Form

The Rotary club of Southern Districts welcomes all guests.

Our current meeting cost is $30 or $31 if paid by card

Your informsation

Your name*

Your email address*

Your phone number*

are you booking for one or two persons* One Two

Name of second Person*

Please select a date from the calendar, make sure it is a Tuesday Click on the small box to the right to bring up a calendar to pick the date from

Any Comments or questions diet requests etc

Are you a member of a rotary Club?* Yes No

Your Rotary Club*

Your Country and or State*

Security

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