Please Register by Completing This Form and Returning to the FAX Or Address Below

Rotary District 5910 Membership & Foundation Annual Training

Please register by completing this form and returning to the FAX or address below.

STEP 1 – Basic Information (Please Print) Full Name:______Badge Name ______Rotary Club ______Mailing Address: ______City/State/Zip:______Daytime Telephone:______E-Mail:______I am: (Please check all that apply)  First Time Registrant (first District Training to attend)  New Rotarian (< 12 months)  Club Membership Chair  Club President  Past District Governor  Club Foundation Chair  Club President-Elect  Rotarian (non-officer)  Club Secretary  Club Director /Officer  Spouse of Rotarian  Club Publicity Chair  Dist Officer/ Chair/ Asst Governor  Other:______

STEP 2 – Registration (Please review all options and check all that apply) PACKAGE INCLUDES FEE

Includes all materials/handouts, INDIVIDUAL REGISTRATION refreshment breaks, and lunch. $15 per person

I will attend the training session scheduled for (please check only one):  Saturday, September 8, 2007 – Texas City  Saturday, September 22, 2007 – Huntsville Texas City High School Walker Senior Education Center 1800 9th Avenue North 1400 19th Street Texas City Huntsville, TX I will attend the following breakout/concurrent session I will attend the following breakout/concurrent session (please check only one): (please check only one):  Foundation Session  Foundation Session  Membership Session  Membership Session  Communications / Publicity Session  Communications / Publicity Session

THE COMMUNICATIONS/PUBLICITY SESSION WILL BE A TRAINING SESSION FOR USING THE NEW DISTRICT WEBSITE FOR CLUB TO DISTRICT REPORTING, MEMBER TO MEMBER COMMUNICATIONS AND AS A PR TOOL FOR YOUR CLUB – PLEASE SEND A REPRESENTATIVE TO THIS SESSION! WE SUGGEST THAT YOU BRING A LAPTOP COMPUTER IF POSSIBLE.

STEP 3 – Payment Make check payable to: ROTARY DISTRICT 5910 Mail completed registration form with payment to: Or Fax to: Kent Hutchison, District Trainer FAX: 1-888-377-9149 (Toll Free) PO Box 56 If faxing registration, please either mail Orangefield, TX 77639-0056 check or bring to check-in).

Schedule 8:30 a.m. – 9 a.m. On-Site Registration / Pre-Registration Check-In / Coffee

Updated/Revised: 6/6/2018 (12:17:11 AM) 9 a.m. - 4 p.m. Training Seminar (Details to follow)

Updated/Revised: 6/6/2018 (12:17:11 AM)