Rotary Club of Carlisle Rotary International
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Fri, 30 Jul 2010 21:54:15 EDT    
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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