RuritanClubandDistrictOfficersHandbook

Ruritan Club

Charter Night Information Please Print or Type

Name of New Club:________________________________________________________________________________

Ruritan District:_ __________________________________________________________________________________

Date of Charter Night:______________________________________________________________________________

Town/City where Charter Meeting will be held: _ _________________________________________________________

Time of the Meeting:_______________________________________________________________________________

Location:_ _______________________________________________________________________________________

Temporary President:_ _____________________________________________________________________________

Address: _ ____________________________________________________________________________________

_ ____________________________________________________________________________________________

Phone : (___) ________________________ E-mail: ______________________________________________

Temporary Secretary:_ _____________________________________________________________________________

Address: _ ____________________________________________________________________________________

_ ____________________________________________________________________________________________

Phone: (___) ________________________ E-mail: ______________________________________________

Sponsoring Club:_ ________________________________________________________________________________

Distinguished Ruritan Member’s (DRM) name: _ _________________________________________________________

(person most responsible for organizing this new club)

Address: _ ____________________________________________________________________________________

Phone: (___) ________________________ E-mail: ______________________________________________

Club: _ _______________________________________________________________________________________

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Revised 8/2021