Rotary Club of Carlisle Rotary International
! Best Extra-Large Club in the District for the 5th Straight Year
Mon, 06 Feb 2012 12:48:38 EST    
Rotary Club of Carlisle - Nomination Form
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Please complete the nomination form below and click on the "Submit Nomination" button. This form will be e-mailed to the Club Secretary as well as the Club President. Thank you for taking the time to fill-out the nomination form!

Last Name: First Name:  M.I. 
Birthdate:    
Nickname: Spouse's Name:

Job Title:
Business or Organization Name:
Address: Email:
Telephone:

Home Address: Email:
Telephone: Fax:

Nominated by: on

Reasons for nomination:
    

 
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