Rotary Means Business Midwest Conference 2026 – Interest Form
Thank you for your interest in the Rotary Means Business Midwest Conference, taking place August 28–29, 2026. This form allows you to stay informed as registration opens, speakers are announced, and event details are finalized. We look forward to connecting with you and helping you expand your network, grow your business, and strengthen your connection to Rotary.
Basic Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
City & State (or Country if outside U.S.)
*
Rotary & Professional Background
Are you currently a member of Rotary?
*
Please Select
Yes
No
Prefer not to say
If yes, what is your Rotary Club name?
Are you currently involved with Rotary Means Business (RMB)?
*
Please Select
Yes
No
Maybe later
What best describes you?
*
Rotary member
Rotaract member
RMB member
Guest/Prospective member
Speaker
Sponsor
Vendor/Exhibitor
Other
What are you most interested in gaining from this conference?
Networking opportunities
Business referrals
Learning from fellow Rotarians
Exploring RMB membership
Partnership opportunities
Speaking opportunities
Other
Conference Interest & Communication
How likely are you to attend the conference on August 28–29, 2026?
*
Please Select
Very likely
Somewhat likely
Unsure
Probably not
Not attending
Would you be interested in any of the following?
*
Networking opportunities
Sponsorship information
Speaking opportunities
Volunteer opportunities
Hotel and travel details
Other
How would you prefer to receive updates?
*
Email
Text message
Phone call
Mail
Other
Would you like someone from Rotary Means Business to connect with you before the conference?
Please Select
Yes
No
Maybe later
Any questions or comments at this time?
Submit
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