Modulo di registrazione e richiesta biglietti - Rotary International

Registration and Ticket Form 

2014 Rotary International Convention 

Sydney, Australia   

1-4 June 2014 

EN—(413) 

Three ways to register! 

1. Online at www.rotary.org (PREFERRED) 

2. Fax the form to RI Registration Services at +1-847-556-2194 

3. Mail the form to Rotary International  

14244 Collections Center Dr., Chicago, IL 60693 USA 

For your protection and compliance with Payment Card Industry 

(PCI) requirements, RI does not accept registration forms submitted 

via email. Please visit the website to register securely online. 

SELECTING PRECONVENTION MEETINGS AND TICKETED RI EVENTS 

Tickets to RI events are limited and sold on a first-come, first-served basis; advance purchase is recommended. Remember to include the 

preconvention meeting dates when reserving your hotel room. Preconvention meetings and ticketed RI events are open to all RI Convention 

registrants unless otherwise noted. Participants may attend preconvention meetings and the House of Friendship Experience without 

registering for the full RI Convention. 

Preconvention Meetings/House of Friendship 

Eligibility 

Rotaract Preconvention Meeting 30-31 May For Rotaractors and Rotarians interested in Rotaract 

Youth Exchange Officers Preconvention 

Meeting 

30-31 May For Rotarians working with Youth Exchange 

Saturday-only House of Friendship 

Experience 

Ticketed RI Events 

Youth Exchange Officers Banquet 

President’s Recognition Luncheon 

President-elect’s Leadership Luncheon 

31 May 

30 May 

2 June 

3 June 

For the family of Rotary and their guests. Provides a sample of the 

convention experience; available for use only on Saturday, 31 May, 

in the House of Friendship. 

Eligibility 

Open to all attendees at Youth Exchange Officers Preconvention Meeting 

and their guests 

Designed for current RI officers, district governors, club presidents, RI committee 

members, and spouses, but all convention registrants are welcome 

Designed for incoming RI officers, district governors, club presidents, and 

spouses, but all convention registrants are welcome 

On to São Paulo Convention Luncheon 4 June Open to all convention registrants 

PROCESSING AND CONFIRMATION 

Online registration is the preferred method of registration for immediate confirmations and letters of invitation, if needed. Hardcopy 

forms submitted to RI Registration Services require three to four weeks to process; please allow more time for forms submitted on or 

around registration deadline dates. Once your faxed or emailed registration has been processed, you will receive an email confirmation. 

LETTERS OF INVITATION/VISAS 

If Australia requires a letter of invitation of those visiting from your country of residence, RI will email you the letter in PDF format along 

with your emailed confirmation of convention registration. Letters are sent to the main registrant and include the names of all guests of 

that registrant. RI will send letters of invitation only to those who are registered for the convention. Registrants are responsible for all 

costs associated with attending the meeting and visa applications. 

If you need a visa to enter Australia, we strongly recommend ONLINE registration before the first deadline (15 December 2013) for immediate 

confirmations and letters of invitation. If submitting a registration form by fax or mail, please allow adequate time for registration and 

visa processing. Find detailed information on Australia’s visa requirements at www.immi.gov.au/visitors. 

Be sure to read the Cancellation Policy on the last page of this form. 

notices 

By attending the RI Convention, registrants consent to be photographed by any means, including still photography and video recording, 

and grant Rotary International and The Rotary Foundation the right to use and publish and license their names, voices, and likenesses 

forever and for any purpose worldwide without RI or the Foundation incurring debts or liabilities of any kind. 

For security purposes, all registrants must show photo identification (driver’s license or passport) at the convention venue in order to 

obtain their registration materials. RI reserves the right to check photo identification at any time during registrants’ attendance at the 

convention. Random spot checks will be made to compare badge information with photo identification. Badges that do not match photo 

identification will be confiscated without refund and violators ejected. RI reserves the right to inspect all purses and bags. Registrants 

may refuse inspection; RI reserves the right to prevent entry.

Registration and Ticket Form 

2014 Rotary International Convention 

Sydney, Australia   

1-4 June 2014 

Event code: IC14 

Please type or print clearly. Complete all 5 steps. 

1. Registrant Information Check all selections for the main registrant here: 

c Full Convention Registration 

c Rotarian 

c Rotary club/district employee 

c Spouse of deceased Rotarian 

c TRF alumnus (before 2006-07) 

c Rotaractor 

c TRF alumnus (2006-07 or later) 

c Youth Exchange student 

c Interactor 

c Preconvention Meetings/House of Friendship 

c Rotaract Preconvention Meeting 

c Youth Exchange Officers Preconvention Meeting 

c Saturday-only House of Friendship Experience 

c Ticketed RI Events 

c Youth Exchange Officers Banquet 

c President’s Recognition Luncheon 

c President-elect’s Leadership Luncheon 

c On to São Paulo Convention Luncheon 

Family Name First Name Middle Name/Initial 

Badge/Call Name 

Classification (Rotarians only) 

Club/City 

Country 

Membership ID (required) 

District 

c District Governor Year - c 2013-14 RI Committee/Resource Group Chair: 

Language Preference: Which language do you wish to use at the convention? 

c English c French c Italian c Japanese c Korean c Mandarin c Portuguese c Spanish 

Responses are used to determine the need for simultaneous interpretation, but this service cannot be guaranteed in all languages. 

Contact Information. Provide your current mailing address. Any changes will be reflected in your member profile. 

Address or P.O. Box 

City State/Province Postal Code Country 

Business Phone (including country and city codes) Home Phone Business Fax Home Fax 

Email (required) 

Parent or Guardian Information. Adult contact information is required for all registrants age 18 or younger. 

Family Name First Name Middle Name/Initial 

Phone (including country and city codes) 

Email 

Parent or guardian information will be used only for contact purposes and does not serve as convention registration for the parent or guardian. 

Emergency Contact during the meeting (required): 

Name 

Phone (including country and city codes) 

Special Needs: I require special accommodation (check all that apply): c Wheelchair (specify below if bringing your own) 

c Braille materials c Assisted listening devices c Other (please specify): 

Dietary Needs: I require special accommodation (check all that apply): c Allergies 

c Vegetarian c Diabetic c No red meat c No pork c No shellfish c No seafood c Other (please specify): 

Additional Information: 

c I wish to serve as a volunteer sergeant-at-arms. (Information will be sent at a later date.) 

c This is my first RI Convention. 

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Where did you hear about c Rotary club c Rotary district c Direct mail c 2013 RI Convention c Email 

the convention? (check one) c Social media c The Rotarian c Regional magazine c www.riconvention.org 

c 2014 Promotion Committee presentation c Other 

Personal Information Sharing. RI may provide your contact information to Rotarians, including zone and district promotion chairs and those organizing 

regional or district events, to assist them in planning convention-related activities. If you indicate that you do not want your contact information 

shared with others, communications about and invitations to special convention events will not be sent to you. 

c No, RI may not use my contact information as outlined above. 

2. Guest Registrant DETAILS 

Registration Categories 

1 Rotarian 

2 Guest age 19 or older 

3 Rotary club/district employee 

4 Spouse of deceased Rotarian 

5 TRF alumnus (before 2006-07) 

6 Rotaractor 

7 TRF alumnus (2006-07 or later)* 

8 One guest of category 6 or 7 

9 Youth Exchange student 

10 Interactor 

11 Guest age 5 to 18 

12 Guest younger than 5 

Check all events that apply to each individual. 

Guest 1 Guest 2 Guest 3 


Category (see above) 

c Saturday-only House of Friendship 

Experience 


c Youth Exchange Officers Preconvention 

Meeting 








Experience 



Meeting 





Family Name Family Name Family Name 

First Name First Name First Name 




Experience 



Meeting 





Middle Name or Initial Middle Name or Initial Middle Name or Initial 

Badge/Call Name Badge/Call Name Badge/Call Name 

Classification (Rotarians only) Classification (Rotarians only) Classification (Rotarians only) 

Club/City Club/City Club/City 

Country Country Country 

Birth Year (if under 18 only) Birth Year (if under 18 only) Birth Year (if under 18 only) 

Language Preference** 

c English c French c Italian 

c Japanese c Korean c Mandarin 

c Portuguese c Spanish 

Special Needs (check all that apply) 

c Assisted-listening devices 

c Wheelchair (specify below if bringing your own) 

c Braille materials 

c Other 

Dietary Needs (check all that apply) 

c Allergies 

c Vegetarian c Diabetic c No red meat 

c No pork c No shellfish c No seafood 

c Other 

c I wish to serve as a volunteer sergeant-at-arms. 

(Information will come later.) 









c Other 


c Allergies 



c Other 









c Other 


c Allergies 



c Other 





c This is my first RI Convention. c This is my first RI Convention. c This is my first RI Convention. 

*Rate does not apply if you were a Rotarian before your Foundation program participation (e.g., GSE team leaders and Rotary Volunteers). 

**Responses are used to determine the need for simultaneous interpretation, but this service cannot be guaranteed in all languages. 

You may need to submit up to three forms. 

Each form is processed by a different entity. To avoid processing delays, submit each form following the instructions: 

c Registration and Ticket Form (RI) c Hotel Reservation Form (Experient) c Host Event Ticket Form (HOC) 

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3. Convention Registration Fees (All prices are in U.S. dollars and include 10% Goods and Services Tax (GST).) 


Registration Category 

Register Early and Save! 

Deadline 1: 

15 December 2013 

Deadline 2: 

 31 March 2014 

On-site/Online 

after 31 March 

1-5 US$310 US$360 US$410 

6-8* US$66 US$99 US$132 

9-11 US$11 US$11 US$11 

12 Free Free Free 

Total Registrants 

by Category 

Total 

(Total Registrants 

x Fee) 

*Rate does not apply if you were a Rotarian before your Foundation program participation. Registration Total: US$ 

4. PRECONVENTION MEETINGS AND TICKETED EVENTS 

Participants may attend preconvention meetings and the House of Friendship Experience without registering for the full RI Convention. 

Quantity Price Total 

Preconvention Meetings/House of Friendship 

Rotaract Preconvention Meeting 30-31 May US$44 

Youth Exchange Officers Preconvention Meeting 30-31 May US$55 

Saturday-only House of Friendship Experience 31 May US$44 

Preconvention Meetings Total: 

US$ 

Ticketed RI Events (total number of tickets per event must not exceed total number of convention registrants) 

Youth Exchange Officers Banquet 30 May US$100 

President’s Recognition Luncheon 2 June US$60 

President-elect’s Leadership Luncheon 3 June US$60 

On to São Paulo Convention Luncheon 4 June US$60 

Preconvention Meetings and Tickets Total: 

GRAND TOTAL: 

(Registration Total + Preconvention Meetings and Tickets Total) 

US$ 

US$ 

5. PAYMENT AND SIGNATURE 

All rates include 10% Goods and Services Tax (GST). 

ABN 36 434 882 113 

All fees must be submitted with this signed registration form and paid in U.S. dollars. RI international offices and fiscal agents will accept 

payment for the RI Convention, preconvention meetings, and ticketed RI events. Personal or club checks will not be accepted on-site. 

Please charge my (check one) c Visa c MasterCard c JCB c American Express c Diners Club c Discover 

Card Number: 

Cardholder’s Name (as it appears on card) Expiration Date (mm/yy) Security Code (3 or 4 digits) Signature (if different from below) 

By signing,* I submit the registration and ticket form, and I verify that I have read and agree to the notices and the cancellation policy. 

Main Registrant’s Signature Name (please print) Date (dd/mm/yy) 

All forms must be signed. 

*If main registrant is age 18 or younger, an adult parent or guardian must sign this form. 

CANCELLATION AND CHANGES 

All registration cancellations are subject to a US$50 service fee. Cancellation requests for registration and tickets must be received by 

30 April 2014. Cancellations due to an unissued visa must be received by 4 June 2014. All cancellation requests must be submitted in writing, 

via email to RI Registration Services (ri.registration@rotary.org) or fax (+1-847-556-2194). Phone cancellations will not be accepted. 

RI will refund registration and ticket fees if the 2014 RI Convention is canceled, but takes no responsibility for travel or other related costs 

incurred by Rotarians and their guests. Registration and tickets are nontransferable. 

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Modulo di registrazione e richiesta biglietti - Rotary International

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