Club & District Officers Handbook

Ruritan & Ruri-Teen Club Charter Information Please Print or Type

Name of New Club: Please mark if this a Regular club or Ruri-Teen Club : Regular Club

Ruri-Teen Club

Ruritan District:

Date of Charter Night:

Town/City where Charter Meeting will be held:

Time of the Meeting:

Location:

Temporary President:

Address:

Telephone:

Temporary Secretary:

Address:

Telephone:

Sponsoring Club:

Distinguished Ruritan Member’s name:

(person/persons most responsible for organizing this new club)

Address:

Club:

Distinguished Ruritan Member’s name:

(person/persons most responsible for organizing this new club)

Address:

Club: Mail completed form and $50.00 charter fee to: Ruritan National, P.O. Box 487, Dublin, VA 24084, (540) 674-5431. **Ruri-Teen Clubs must mail the completed form, the $50.00 charter fee and the $100 affiliation fee. ($150 affiliation fee for College clubs) Charter application must be received at least 2 weeks before the date the charter will be presented.

REV. 5/26/22

53

Revised 8/2023