The Rotary
Leadership Institute
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  Webmaster: Marlene B Brown
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Rotary Leadership Institute NE America Online Registration & Payment

Our online registration form for Parts I, II, III, or graduate follows. PLEASE MAKE SURE TO FILL IN ALL INFORMATION requested, including your email address and phone number so our registrar can reach you if needed. Checks should be made out to The Rotary Leadership Institute.

Registration & Payment Methods: REGISTRATION: Download the Registration Form for Courses, complete & mail with check OR Register online below, specifying payment method in box bottom left. PAYMENT: Mail completed registration form with check OR Pay Online with our secure shopping cart (you must also register via our online registration form). If the person registering will be paying via PayPal, and that account is under a different name from the registering person, please specify that name in the box below. Course Information is also on our Calendar page.

NOTE: The only courses you can register for on this website are those listed under the Date Location dropdown below. For courses outside our RLI Northeast Region, please contact those sites as listed on our Divisions page.

Registration fees are non refundable. For registrations made within 10 days of the event and for on-site registration, add $10. If you register within 10 days of any session, please contact your Regional & District RLI Chairs to let them know you are coming to the session, and make sure to take a check with you, made out to The Rotary Leadership Institute, for the amount of the session you wish to attend.


RLI Online Registration Form

Last Name:

First Name:

Badge Name:

E-mail Address:

Street Address/P.O.B.

City and State:

Zip Code:

Home Phone:

Business Phone:

Fax Phone:

District #:

Rotary Club Name:

How did you find us?

How will you pay?

If paying via PayPal or a credit card under another name, type that other name in this box

Attending Course?

Date and Location?

If you are registering for Parts II or III, indicate in box on right when & where you participated in Parts I and/or II. * Faculty training $45. by invitation only