fill out and mail in this registration form with your payment.
make checks or money orders payable to  "the rotary club of dublin foundation"

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YOUR REGISTRATION INFORMATION


 First Name  

 Last Name  

 Street Address  

 City  

 State  

 Zip Code  

 Phone  

 email  


Mail This Form and Payment To:
The Rotary Club of Dublin Foundation
P.O. Box 2029 Dublin, CA. 94568






Non Profit 501c3 - Tax ID 26-0465903


SELECT A SEATING





 Table For Eight: $400  




 Individual: $55  




 your check reference #


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