Ruritan Club and District Officers' Handbook

Ruritan Club & Ruri-Teen Club Charter Application

We hereby apply for a charter for the

Ruritan or Ruri-

Teen 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 required to charter a new club. Use additional sheets as necessary. For Ruri-Teen clubs please use the schools or the meeting locations address.

REV. 5/26/22

49

Revised 8/2024