Club_Officers_Handbook_2016

Ruritan National

Ruritan Club Charter Application “America’s Leading Community Service Organization.”

we hereby apply for a charter for the _________________________________________ Ruritan Club of

__________________________________________ , ________________________________ and desire to

(City/County)

(State)

affiliate as such with Ruritan National, “America’s Leading Community Service Organization.”

Please Print or Type

Name

Address

Phone

Occupation

1. ____________________________________________________________________________________________________ 2. ____________________________________________________________________________________________________ 3. ____________________________________________________________________________________________________ 4. ____________________________________________________________________________________________________ 5. ____________________________________________________________________________________________________ 6. ____________________________________________________________________________________________________ 7. ____________________________________________________________________________________________________ 8. ____________________________________________________________________________________________________ 9. ____________________________________________________________________________________________________ 10.____________________________________________________________________________________________________ 11.____________________________________________________________________________________________________ 12.____________________________________________________________________________________________________ 13.____________________________________________________________________________________________________ 14.____________________________________________________________________________________________________ 15.____________________________________________________________________________________________________ 16.____________________________________________________________________________________________________ 17.____________________________________________________________________________________________________ 18.____________________________________________________________________________________________________ 19.____________________________________________________________________________________________________ 20.____________________________________________________________________________________________________ 21.____________________________________________________________________________________________________ 22.____________________________________________________________________________________________________ 23.____________________________________________________________________________________________________ 24.____________________________________________________________________________________________________ Sixteen members are normally required to charter a new club. (See note on opposite page ). Use additional sheets as necessary. Mail completed form and $50 charter fee to: Ruritan National, P.O. Box 487, Dublin, VA 24084, toll free (877) 787-8727. Charter application must be received at least 20 days before the date the charter will be presented.

General

59

Revised 8/2016