Visitor Pre-Register
Save time registering, Walk Right In!
*
I am a GUEST registering myself
I am the Host Member registering a guest
Member Information
First Name
Last Name
Guest Information
Name of the Guest
*
First Name
Last Name
Company
*
Industry
Email
*
example@example.com
Phone Number
*
The Member that invited you:
Is the visitor a Rotarian?
Yes (includes Leadership Impact Group)
No
Some time ago
Guest Rotarian's Home Club
Luncheon Cost Assignment
How would you prefer to handle lunch today?
Charge to Host Member
Charge to Membership Committee (Golden Ticket/Prospective Member)
Leadership Impact Group
Paid by Guest: Credit Card
Paid by Guest: Venmo
Paid by Guest: PayPal
Paid by Guest: Cash
No Food
Submit
Should be Empty: