Club Historian's Information Submission for D6630 Directory 2008-09

Please submit information for the 2008-2009 Rotary year. Before submitting the form below:

  • Please make sure you have all information ready to enter in a single submission. Partial submissions cannot be used.
  • Please do not use ALL CAPS (except for entering the state as OH).
  • Please use hyphens for separating phone numbers, as in 800-555-1212.
  • Do not include the partner's last name if a spouse sharing the same surname.
  • E-mail addresses should be entered as all lower case.
  • If a position has co-chairs, please enter only one person and his/her contact information.
  • Please double check your entries before submitting--the information you submit is what will appear in the printed directory!

Last Call - Please return by August 12

Historian's Info

Rotary Club of:

Historian's Name:

Historian Partner's Name:

Historian's St. Address:

Historian's City:

Historian's State:

Historian's Zip:

Historian's Home Phone:

Historian's Office Phone:

Historian's Fax:

Historian's Cell Phone:

Historian's E-mail:

To help to prevent robot-triggered submissions, please enter the case letters and numbers in the image code below into the security text field (must match):

Security Image: CODE HINT: letter T, number four, letter X, number nine, letter D, letter A change image

Please re-enter the security code shown above:

CODE HINT: letter T, number four, letter X, number nine, letter D, letter A

  


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