Rotary Leadership Institute International

The Rotary Leadership Institute














	Webmaster: Marlene B Brown
	Hosted by: rotaryeclubny1.com

Rotary Leadership Institute NE America Online Registration

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.

Or you can print out this RLI-NEA Application form and mail it to our registrar. (If you can't open this form, download free pdf reader here) Information on where to mail it 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 USA Division page.

NOTE: if you register within 3 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?
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. Also please indicate how you will be sending Payment ($90 for Parts I, II, III or Grad / $65 for Low Cost Sites)*