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
Speaker Guest
No Food
Submit
Should be Empty: