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Club Leadership Roster 2010-2011 Input Form

The purpose of this form is to provide an easy to use process for providing to the District your Club Leadership (Officers, Directors, Committee Chairs and other leadership positions) names and contact information. Please enter all information appropriate for your Club.TIP: Click Download HERE, print and fill out the form manually as you collect the information. Then come back to the on-line form, complete and submit it. Note: that you can submit Updates at any time. Be sure to include your Club Name in each update. Thank you. To view a summary of Clubs that have reported CLICK HERE. This is a confidential document that requires your login. After logging in you can find the report under the District 5150 tab.
Required with 1st Submission & Updates
Rotary Club of:
 Club #: 
IMPORTANT:
Is this is 1st Submission
or an Update 		Mailing Address(Street/PO/ City/ZIP:
 Telephone AC&#:
 Web Site:
Position First Name: Last Name: Email: Best Telephone AC&#:
President
Past President
President Nominee 2010-11
Club Secretary
Club Treasurer
Membership Chair
Foundation Chair(TRF)
Community Service Chair
Vocational Service Chair
WCS/International Service Chair
Youth Service Chair
Club Service Chair
Matching Grants Chair(If not same as WCS)
Public Relations Chair
Interact Chair
Rotaract Chair
Newsletter Chair
Dictionaries Chair
Group Study Exchange(GSE) Chair
Other Positions your Club May Have
Position First Name Last Name Email Address Best telephone AC&#
Title:
Title:
Title:
Title:
Title:
Title:
Title:
Title:
THANK YOU!

 

 

           

 
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