Rotary Club of: Choose Club Andover Arkansas City Augusta Beaver Boise City Cimarron Derby District 5690 Dodge City East Wichita El Dorado Garden City Greensburg Guymon Hugoton Hutchinson Johnson Kingman Kinsley Larned Liberal Newton Pratt Sublette Syracuse Texhoma Ulysses Wellington West Sedgwick County Sunrise West Wichita Wichita (Downtown) Winfield   

Rotary Year:    

Incoming President:

         Name:                  

         Spouse's Name:   

         Address (including zip code):

        Home Phone (including area code):   

        Office Phone (including area code):   

        Fax (including area code):                   

        email address:                                    

Incoming Secretary:

        Name:                  

        Spouse's Name:   

        Address (including zip code):

         Home Phone (including area code):   

         Office Phone (including area code):   

         Fax number (including area code):      

         email address:                                    

Please submit report before February 15th each year.