ROTARY DISTRICT ASSEMBLY SIGNUP FORM

March 13, 2010 at Chapman University from 8 a.m. to 12 noon


Registering for Session I:
Registering for Session II:
Registering for Session III:
Attendee:  
   Last Name  First  
 
2010-11
Office/Position
 
Rotary Club of
OR if Club not in list, type name here