Club 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!
  • You can obtain a Word version of the form to use as a worksheet before filling it in here.
  • IF you do not have information for any entry, please simply enter NA in the field so that all fields have an entry.

The main form below requires that you have complete contact information for your incoming President, Secretary, President-Elect, Treasurer, Membership Chair, Foundation Liaison, Club Historian, Club Service Chair, Vocational Service Chair, Community Service Chair, and International Service Chair.

If you information for all positions, you may use the form below. If you do not have everything, or prefer to have your chairpeople fill out their sections, we offer mutliple forms that are broken into the following

Individual Forms:

President | Secretary | President-Elect | Treasurer | Membership Chair | Foundation Liaison | Club Historian | Club Service Chair | Vocational Service Chair | Community Service Chair | International Service Chair

Please return by June 1

Club Info

Submitter's Name:

Submitter's Email:

* Rotary Club of:

Club Number:

Date Chartered:

Meeting Day & Time:

  Time

Meeting Place:

Address & Brief Directions:

President's Info

President's Name:

Pres. Partner's Name:

President's St. Address:

President's City:

President's State:

President's Zip:

President's Home Phone:

President's Office Phone:

President's Fax:

President's Cell Phone:

President's E-mail:

Secretary's Info

Secretary's Name:

Secretary Partner's Name:

Secretary's St. Address:

Secretary's City:

Secretary's State:

Secretary's Zip:

Secretary's Home Phone:

Secretary's Office Phone:

Secretary's Fax:

Secretary's Cell Phone:

Secretary's E-mail:

President-Elect Info

President-Elect's Name:

PE Partner's Name:

President-Elect's St. Address:

President-Elect's City:

President-Elect's State:

President-Elect's Zip:

President-Elect's Home Phone:

President-Elect's Office Phone:

President-Elect's Fax:

President-Elect's Cell Phone:

President-Elect's E-mail:

Treasurer's Info

Treasurer's Name:

Treasurer Partner's Name:

Treasurer's St. Address:

Treasurer's City:

Treasurer's State:

Treasurer's Zip:

Treasurer's Home Phone:

Treasurer's Office Phone:

Treasurer's Fax:

Treasurer's Cell Phone:

Treasurer's E-mail:

Membership Chair's Info

Membership Chair's Name:

Membership Partner's Name:

Membership Chair's St. Address:

Membership Chair's City:

Membership Chair's State:

Membership Chair's Zip:

Membership Chair's Home Phone:

Membership Chair's Office Phone:

Membership Chair's Fax:

Membership Chair's Cell Phone:

Membership Chair's E-mail:

Foundation Liaison's Info

Liaison's Name:

Liaison Partner's Name:

Liaison's St. Address:

Liaison's City:

Liaison's State:

Liaison's Zip:

Liaison's Home Phone:

Liaison's Office Phone:

Liaison's Fax:

Liaison's Cell Phone:

Liaison's E-mail:

Historian's Info

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:

Club Service Chair's Info

Club Service Chair's Name:

Club Service Chair Partner's Name:

Club Service Chair's St. Address:

Club Service Chair's City:

Club Service Chair's State:

Club Service Chair's Zip:

Club Service Chair's Home Phone:

Club Service Chair's Office Phone:

Club Service Chair's Fax:

Club Service Chair's Cell Phone:

Club Service Chair's E-mail:

Club Vocational Chair's Info

Club Vocational Chair's Name:

Club Vocational Chair Partner's Name:

Club Vocational Chair's St. Address:

Club Vocational Chair's City:

Club Vocational Chair's State:

Club Vocational Chair's Zip:

Club Vocational Chair's Home Phone:

Club Vocational Chair's Office Phone:

Club Vocational Chair's Fax:

Club Vocational Chair's Cell Phone:

Club Vocational Chair's E-mail:

Club Community Service Chair's Info

Club Community Service Chair's Name:

Club Community Service Chair Partner's Name:

Club Community Service Chair's St. Address:

Club Community Service Chair's City:

Club Community Service Chair's State:

Club Community Service Chair's Zip:

Club Community Service Chair's Home Phone:

Club Community Service Chair's Office Phone:

Club Community Service Chair's Fax:

Club Community Service Chair's Cell Phone:

Club Community Service Chair's E-mail:

Club International Service Chair's Info

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 X, letter M, letter J, letter H, letter K, letter T change image

Please re-enter the security code shown above:

CODE HINT: letter X, letter M, letter J, letter H, letter K, letter T

  


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