Club International Chair'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

Club International Chair's Info

Rotary Club of:

Club International Service Chair's Name:

Club International Service Chair Partner's Name:

Club International Service Chair's St. Address:

Club International Service Chair's City:

Club International Service Chair's State:

Club International Service Chair's Zip:

Club International Service Chair's Home Phone:

Club International Service Chair's Office Phone:

Club International Service Chair's Fax:

Club International Service Chair's Cell Phone:

Club International Service Chair'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 five, letter X, letter W, letter D, letter F change image

Please re-enter the security code shown above:

CODE HINT: letter T, number five, letter X, letter W, letter D, letter F

  


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