Registration Form
100th Anniversary of the Rotary Club of Manila
and the Rotary Movement in the Philippines and Asia
June 21, 2019
Philippine International Convention Center (PICC)
LAST/FAMILY NAME
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FIRST/GIVEN NAME
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MIDDLE NAME/INITIAL
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BADGE/CALL NAME
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CLASSIFICATION/POSITION
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ROTARY DISTRICT
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ROTARY CLUB
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CONTACT NUMBER
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EMAIL ADDRESS *
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Are you registering a spouse and/or Non-Rotarian guest/s?
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