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ROTARY INTERNATIONAL DISTRICT 7360 January 2014 WHAT’S HAPPENING! Snow is on the ground; it is cold and all that most of us want to do is stay nice and warm inside. Of course there are those who enjoy the various activities of winter but I sure am not one of them. If you are an inside person, now would be the time for you and other members of your club to be planning and finalizing those late winter or spring events to raise money for the club, the community, PolioPlus, or other world project. President-Elect Training will be in less than two months which means that your club needs to have in place the member who will be your president as of July 1 so that they can set aside the dates of March 13 & 14 to attend the training at Toftrees Resort in State College. Mary Johnston District Secretary DISTRICT CALENDAR — DATES TO SAVE PETS – March 13-14 at Toftrees, State College, PA 2015 District 7360 Conference – May 1-3 at the Radisson, Harrisburg, PA District Training Assembly – May 16 at Celebration Hall, State College Pancakes for Polio – May 25 at War Memorial Park, Martinsburg, WV District Governor David Ford’s Installation – June 27 at The Links at Hemlock Creek, Bloomsburg, PA 2016 District 7360 Conference – April 29-May 1 at the Penn Stater, State College, PA Volume 4 Number 7

ROTARY INTERNATIONAL DISTRICT 7360 January 2014 · ROTARY INTERNATIONAL DISTRICT 7360 !! January 2014 !!!! WHAT’S HAPPENING! Snow is on the ground; it is cold and all that most

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ROTARY INTERNATIONAL

DISTRICT 7360    

January 2014    

   

WHAT’S HAPPENING!

Snow is on the ground; it is cold and all that most of us want to do is stay nice and warm inside. Of course there are those who enjoy the various activities of winter but I sure am not one of them.

If you are an inside person, now would be the time for you and other members of your club to be planning and finalizing those late winter or spring events to raise money for the club, the community, PolioPlus, or other world project.

President-Elect Training will be in less than two months which means that your club needs to have in place the member who will be your president as of July 1 so that they can set aside the dates of March 13 & 14 to attend the training at Toftrees Resort in State College.

Mary Johnston   District Secretary

DISTRICT CALENDAR — DATES TO SAVE

PETS – March 13-14 at Toftrees, State College, PA 2015 District 7360 Conference – May 1-3 at the Radisson, Harrisburg, PA

District Training Assembly – May 16 at Celebration Hall, State College Pancakes for Polio – May 25 at War Memorial Park, Martinsburg, WV

District Governor David Ford’s Installation – June 27 at The Links at Hemlock Creek, Bloomsburg, PA 2016 District 7360 Conference – April 29-May 1 at the Penn Stater, State College, PA

 

Volume  4  Number  7  

 

SHEPHERDSTOWN ROTARY CLUB HONORS DEPARTING SHEPHERD U. CELLIST

The Rotary Club of Shepherdstown recently honored longtime Shepherd University conductor and cellist Stephen Czarkowski. At its December 23 Christmas breakfast meeting, the Club presented Dr. Czarkowski with plaque of appreciation and also made a $250 donation on his behalf to Shepherd's Friends of Music organization. The funds are to be used to help support promising Shepherd music students.

Shown are Dr. Czarkowski, left, with Rotary Club President Tom Miller, center, and Friends of Music President Dr. Jim Walker, right. Dr. Czarkowski is leaving the university's faculty to become Assistant Conductor of the York Symphony Orchestra in Pennsylvania. He has provided music at the Rotary Club's annual Christmas breakfast for many years, always bringing some of his star cello students to perform with him.

POTTSVILLE ROTARY BEGINS 100TH

ANNIVERSARY CELEBRATION

The Rotary Club of Pottsville began our 100th Anniversary year of 2015 in a great way, with long-time member Mary Sitcoske receiving a Paul Harris pin with two sapphires at our January 14 meeting. As Mary is our Foundation Chair, she took the opportunity to discuss the importance of Foundation donations and multiple ways and reasons to give.

The Club is preparing for many events this year to celebrate our 100th Anniversary. The signature event will be a dinner-dance on April 17 at Mountain Valley Golf Course in Barnesville, PA. Invitations will be sent soon to past and present Pottsville Rotarians and friends. Rotarians from the District are invited and encouraged to attend. Cost is $75 per person and includes choice of 3 entrees plus one hour complimentary bar and hors d’oeuvres, and the entertainment will be the MJ Big Band from Pottsville. Mountain Valley is also offering overnight stay packages and discount golf on Saturday,

April 18. District Rotarians interested in attending should contact Bill Parulis at [email protected]. You can reserve rooms at Mountain Valley by calling 570-467-2242 or on their website www.mtvalleygolf.com. Please consider joining us for what's sure to be a wonderful evening!

Shown – Mary Sitcoske receives her Paul Harris pin with two sapphires from Pottsville Rotary President Eric Lieberman

HUNTINGDON MEMBERS RECEIVE PAUL HARRIS FELLOW AWARDS

Three Rotarians were recognized on December 16 for having attained Paul Harris Fellow recognition multiple times. The presentation of Paul Harris Fellow recognition (named for the person who founded Rotary in 1905) is The Rotary Foundation's way of expressing its appreciation for a substantial contribution of at least $1,000 to its humanitarian and educational programs. It is named for Rotary’s founder, Paul Harris, a Chicago lawyer who started Rotary International with three business associates in 1905.

An individual may become a Paul Harris Fellow in one of several ways. They can make an individual contribution all at one time; or become a Sustaining Member by making at $100 contribution per year with the intent of contributing $1,000 over a ten-year period. Rotarians or Clubs may

 

also designate a Paul Harris Fellow in appreciation for his or her service to the club, or as a tribute to a person whose life demonstrates a shared purpose with the objectives of The Rotary Foundation.

The Huntingdon Rotary Club has a long tradition of awarding Paul Harris Fellows. Over tits long history more than 80 individuals have been awarded Paul Harris Fellow status. .

ROTARIAN ANN DUNLAVY SPOKE ABOUT

TRIP TO ECUADOR

Ann Dunlavy was the featured speaker at the December 2 meeting of the Huntingdon Rotary Club. In August 2014, Dunlavy travelled with other District Rotarians to Ecuador to view the successful com-pletion of the District’s Ecuadorian

water and sanitation project, and to assess future needs. Dunlavy found the trip to be “inspiring”, noting that the “power of Rotary in the world is truly amazing...our gifts do an amazing amount of work” to help others in the world who are less fortunate than ourselves. This year, Rotary clubs in District 7360 hope to provide assistance with water projects on all seven continents. Future projects could also include support of the expansion of a farming operation at an AIDs orphanage to help the orphanage become self-sustaining and/or support of a home for abused or abandoned teenage girls

CLAYSBURG CLUB NEWS

Our communities annual CROP walk for hunger was held this past October. Our Club participates in this event every year along with other community groups. This year Kathy Claar was our representative. It was a busy weekend, usually our club has 10-15 members walking. The walked raised 3460.91with 200.00 raised by Kathy. The group that raises the most gets to keep the Golden Shoe Award for the year.

Pictured is Pastor Ron Bashore presenting President-Elect Dave Musselman with the Golden Shoe. Allison Ritchey is Claysburg Rotary student of the month for January. She is in 10 clubs at CKHS including National Honor Society, chorus and cheerleading to name a few. She dances, works part time, helps around the house and at her church.

She thinks a good rotary service project would be to mentor kids in the scout program. The adults could talk about their careers and schooling to help the kids think about what they might want in the future.

Pictured is Allison and club member Tom Ringler.

 

ALTOONA SUNRISE NEWS Santa visits Altoona Sunrise Rotary’s Christmas Party at the Allegro in Altoona on a snowy winter eve.

Rotary Members were rewarded because they were SO GOOD!!!! No wonder he feels that way: Toasty Toddler Project with many coats and hats for toddlers in Blair County.

We rang the bells for Salvation Army and the kettle was completely full by end of the day.

Our Polio Campaign for 2014 was outstanding: Pinkies for Polio was done and money was given to DG on the day of his District meeting. We continued with our own club pinkie day, one at Bishop Guilfoyle High School, Tyrone Hospital and one at a local church. We ended with a Polio Bike Ride. Santa agreed, Good Job Rotarians!!!

Hard work paid off and we had a very successful Golf Tournament this year. Many guests of ARC of Blair County and Special Olympics are being served by our efforts. Santa was very happy with all the efforts of Altoona Sunrise Rotary.

SALVATION ARMY BELL RINGING BY BEDFORD ROTARY CLUB

Our Club had its most successful week ever in twelve years of bell ringing for the Salvation Army! Members spent 31 hours over the seven day period “ringing in” a total of $3,100, and raising our twelve year total to over $27,000.

Shown is past president Jim Wehling takes his turn with the bell

BEDFORD ROTARY CLUB SUPPORTS TEDDY BEAR PROJECT

Recently, young Kayla Jones was presented with a check of $250 to support her Teddy Bear project. The project originated with Kayla several years ago and with the help of her family has resulted in many deliveries of stuffed animals to hospital patients here in Bedford.

Photo - (from L to R) Pamela Wilt, Club Vice President; Kayla’s mother; Kayla; and club past president Jim Wehling

 

BLOOMSBURG CLUB NEWS

Max Taylor, the 2014 Bloomsburg Rotary scholarship winner joined the club during college break. He attends the University of Pittsburg. At his right are three new members who were recently inducted into the Rotary – Kristin D Hale, Ellen Worthington and Zona Broscious.

Jim Burrows and his wife, Velma, presented a fine powerpoint to the club highlighting their participating in a Rotary trip. The large national Rotary trip covered many sites from SanFrancisco to Los Angeles and included the Rose Bowl preparation and Parade.

The Club sponsors a Student of the Month covering one student from each of several local high schools. Lacey Densberger, a junior at Millville High was chosen as the January honoree and attended the meeting with her parents and sister. She is in the National Honor and Spanish Honor Societies. She is the student council historian and plans on studying Nursing in college. Rotarian Tom Tobin introduced Lacey.

HAGERSTOWN SUNRISE FOUNDATION DISPENSES FUNDS

Rotary Club of Hagerstown Sunrise Foundation, Inc. president Don Harsh presided over the presentation of checks to the Sun Rises over Rotary 2014 Dinner and Auction partners.

Pictured left to right: Rebecca Hogamier, auction co-chair; Don Harsh, Sunrise Foundation president; Teresa Russell, The W House; Brinley Holmes and Joe Chukla, Court Appointed Special Advocates of Washington County; Kathy Harple; auction co-chair; and Laura Spessard, Sunrise president.

GALETON CLUB NEWS

The Galeton Club concluded 2014 with our Annual Christmas Party. Phyllis Conable, with the help from visiting Rotarian, Linda Yonkin, decorated the pine Creek Inn social room and chose a delicious menu for the evening.

Pictures were taken at the Christmas party and are of the incoming officers. John Zeigler, Joe Iaquinto, John Ryan and B.J. Lowther.

 

John Ryan, incoming President .

Our Annual Fireside meeting resulted in a review of club achievements for the first 6 months of the 2014-1015 Rotary year as well as presented goals for the last half of the year. Goals for 2015 include repair or replacement of some of the community flower planters, replace two trees along Galeton's Berger Lake. One tree was damaged by weather, the other by vandalism. We will begin a Citizens of Tomorrow program with the Galeton High School, sponsor several students to the Conservation Camp, and present two scholarships to graduating seniors. We also will continue to co-sponsor, in cooperation with the Charles Cole Memorial Hospital, a blood analysis program which has become a major fund raiser for the club.

Clyde Pierce, Rotarian and the Principal of the Galeton Schools, gave a most informative program on Academic Performance Data. Galeton schools scores were acceptable but left room for improvement. Clyde also compared scores for the five cyber schools that former Galeton students are enrolled in and they are below the Galeton Schools numbers. Cyber schools cost the Galeton School District $500,000 per year to support 36 students

HAGERSTOWN CLUB INVOLVED IN LITERACY INITIATIVE

Since September 2011, the Rotary Club of Hagerstown, through the Literacy Initiative, has sought to advocate for solutions to help make children reporting to kindergarten ready to learn. Unfortunately,,Washington County kindergartners have scored near the bottom, and are currently last, in State assessments of their readiness to learn. In recent years, businesses have been experiencing the consequences of this problem as they seek to hire their workforce.

LONG MEADOWS CLUB NEWS

On Wednesday, February 11, Caitlin Codella, from the U.S. Chamber of Commerce Center for Education and Workforce, will discuss the importance of early childhood (pre-k) education to the business community. The event, Eggs & Issues, is a Chamber program sponsored by the Rotary Club of Hagerstown. It is being held at Hager Hall from 7:30 - 9 am, and includes breakfast. $15 for Chamber members and $25 for non-Chamber members. Click on the following link to register: http://www.hagerstown.org/events/eventdetail.aspx?EventID=1269

The Long Meadows Rotary inducted its newest member Mr. Bernard (Butch) Adams on Monday January 12, 2015. Mr. Adams is the is the Director – Hagerstown Branch Campus - of the Pittsburgh Institute of Aeronautics where he oversees a staff of four instructors and the day to day operations of the campus. he lives in Greencastle, PA with his wife, Jenny. Pictured Above (L-R) are Long Meadows Past President, Ron Bowers,

On January 12, 2015, the Rotary Club of the Long Meadows was visited by an international guest, Marina Viktorovna Afanasyeva, from Cherkasy, Ukraine. Marina is President -Elect of the Rotary Club of Cherkasy-Center, Ukraine and is visiting Local Rotary Clubs throughout the month on an exchange program designed to educate clubs in the United States on the workings of Rotary Clubs abroad.

 

She is pictured above presenting hr banner of the local club in Ukraine to Rotary Assistant District Governor, Magnus Dahlgren of The Rotary Club of the Long Meadows. ROTARY CLUB OF HAGERSTOWN-SUNRISE

TOY DISTRIBUTION AT WINTER STREET SCHOOL

With a donation from a local foundation, donations from the Sunrise membership, and funds allocated from the club budget, Rotary Club of Hagerstown-Sunrise was able to give a nice gift to every student at Winter Street Elementary on December 23, 2015. The project was chaired by Sunrise member, Beth Johnston.

Pictured from left to right (kneeling): Beth Johnston (project chair); Laura Spessard (club president) and Jodi Blair (treasurer). Standing: Pictured from left to right (standing): Becky Hogamier (president-elect); Pam Christoffel; Santa (aka Ralph Bartles); Jack Latimer; AJ Smith; Bill Christoffel; Kathy Harple; Dominic Popescu Goretti High School Interact; Megan Churchey, Goretti High School Interact; and Joe Gerstner.

HAGERSTOWN ROTARY CLUB CELEBRATES 100 YEARS OF SERVICE

The Hagerstown Rotary Club recognized its 100th birthday on Wednesday at a luncheon at the Fountainhead Country Club. Past presidents and longtime members attended the luncheon, listening to stories of the club's history. "Exactly 100 years ago, a group of guys and local businessmen got together and talked about starting a Rotary Club," club President Jason Rappaport said. "In June, they actually formally chartered and were recognized by Rotary International, but it all started with a meeting 100 years ago." The luncheon began with everybody singing "Happy Birthday" to the club. Founded on Jan. 15, 1915, the Hagerstown Rotary Club formed 10 years after Rotary International was founded in 1905.

Speakers documented the growth of the club, ranging from its first donation to the local YMCA in 1917, to the multiple fundraisers it initiated over the years, the sale of coupon books started in the 1980s and the admission of women in the late 1980s.

Along one wall in the room was a table with newspaper articles, old coupon books and other documents that have been a part of the club's history dating back to its inception.

"It's an amazing group of people to be involved with," Rappaport said. "Everybody here is motivated, they're successful, they're charitable, they're giving, and they're just good people." A president from each of the past five decades, dating back to the 1970s, spoke on changes that took place in the period that they served. Franklin P. Erck III, president for 1978-1979, spoke about the club's beginning and the changes it underwent in the 1970s up to 1980, including many fundraisers, kicking off its golf tournament, beginning the coupon books and making Rotary donations tax deductible. Curt R. Dudda, who was president for the 1981-1982 year, spoke about changes in the 1980s, which included replacing many of the inefficient fundraisers, thanks to the success of the coupon books, and allowing women to join. Derek Hamilton, who was president in the 1996-1997, noted 65 members of the club were members in 1999.

"That shows the stability of our club," he said. Tracy Barlup, who was president for 2009-2010, and Dave Hanlin, president for 2011-2012, talked about 21st-century changes, which included the first female president, Christine Trenton, in 2006-2007. They cited steps to put the coupon books on hiatus, changing fundraising methods and using the Internet more.

Rod Keyser, who was president in 1986-1987 and eventually became district governor, closed out the program with a speech about the organization's long history and the changes it underwent, particularly the effort to include women, which finally happened at Rotary International during his term with the Hagerstown chapter

Keyser used that as an example of the "one small step" model the club can use to improve society by putting "service above self." "As we look backward on our club's history, and we look forward to the next century of service, who will take the next small step to make Rotary and our society better for all?" he asked.

 

Current District Governor Jason Piatt also attended the anniversary and spoke first.

Rappaport noted that all of the people involved in the club over the past century have been influential. "They've been influential business people, they've been volunteers, and there's been a lot of good work that's been done both in the local community as well as in the world as a result of Rotary's efforts and Rotarians in this community," he said.

Caleb Calhoun is a reporter for The Herald-Mail. He can be reached via email at [email protected].  

CHAMBERSBURG CLUB HONORS TWO 25-YEAR MEMBERS

Bonnie  Mellott  and  Sue  McMurtray  showing  the  cake.

Twenty-­‐five   years   ago,  Bonnie  Mellott  &  Sue  McMurtray  joined   the   Chambersburg   Rotary   Club.     Their   friendship  was   cemented   forever  when   they   volunteered   their   first  summer  as  members   in  the  club  by  helping  to  paint  park  benches   on   the   Chambersburg   Square   during   a  beautification   week.     They   have   continued   to   volunteer  together  on  many   service  projects,  most   recently   ringing  the   bell   for   Salvation  Army   in  December  where   the   club  raised   over   $1,000.     Bonnie   &   Sue   celebrated   their   25  years  in  the  club  with  a  cake  for  the  members  at  a  recent  January  meeting.          

SHEPHERDSTOWN ROTARY EVENT RAISED $20,228 FOR CHARITIES

The Shepherdstown Rotary Club's annual Christmas Charity Ball, which was held last December 5 at the Shepherdstown Volunteer Fire Department Hall, raised a total of $20,228 for 19 mostly local nonprofit organizations.

The event is entitled "Our Ball, Your Charity."

Each year, individual Rotarians help underwrite it by sponsoring tables and contributing funds toward the costs of food, beverages, music and decorations. Sponsoring organizations cover the rest of those costs.

All of the proceeds from the sale of tickets to each table are then donated to charities selected by the table's host.

Each table is also given the opportunity to participate in a silent auction, and all the auction proceeds go to the designated charities as well. In all, this event has raised a total of $174,952 for mostly local charities since the Shepherdstown Club adopted the "Our Ball Your Charity" format in 2008.

The nonprofit organizations that benefited from the December 5 event were as follows: Caring Cupboard, CASA of the Eastern Panhandle, Good Shepherd Volunteer Caregivers, Historic Shepherdstown Commission, Hospice of the Eastern Panhandle, Jefferson High School Baseball Boosters, Kidz Power Pacs, Mrs. Jenny, Potomac Valley Audubon Society, Rotary International, Shepherd University Friends of Music, Shepherd University RAM Nation, Shepherdstown Area Independent Living, Shepherdstown Day Care Center, Saint Agnes Church, Shepherdstown Public Library, Shepherdstown Rotary Club Charitable Fund, Shepherdstown Visitors Center, Shepherdstown Volunteer Fire Department,

2015-16 THEME

RI President-Elect K.R. "Ravi” Ravindran announced the "theme" for our year as Rotary leaders, that begins July 1, 2015. "Be a gift to the world",

The Rotary Club of Hegins-Valley View in partnership with

Kissinger's Family Restaurant presents

   

The Second Annual Beer Dinner Featuring Straub's Brewery, St. Mary's, PA

   

Sunday, March 8, 2015 Doors open at: 4:30p

Meal served at: 5 :OOp Tickets – $65.00pp

Menu Salad ∼ Mixed Greens, Beets, Goat Cheese, Asparagus, Smoked Tomato Vinaigrette

Soup ~ Salmon Dill Chowder

Appetizer ~ Crab Cocktail, Bitter Greens, Honey Dijon

Entrée ~ Sausage Stuff Chick Thighs, Chicken Jus, Risotto with Mushrooms, Tender Local Vegetable

Dessert ~ Macerated Berries, Lemon Cream, Graham Cracker Dust

Limited number of tickets available. Contact any Hegins-Valley View

Rotarian for tickets or the restaurant at 717 365-3175.

50% of profits will go to PolioPlus  

Kids Games in Hufnagle Park 10 AM—1 PM

Olaf Sing-a-long at the gazebo 11 AM & 1 PM. Meet Elsa, too! Children’s Winter Race for fun 12 Noon.

All day family fun! Snowball throw, ice fishing, snow golf, pinecone birdfeeder making, hot chocolate & more!

1—4 pm Frosty Kettle Chili Cook Off (Contestants set up 12 Noon)

The Lewisburg Club, 131 Market Street, Lewisburg Taste and Judge all …. Public welcome $ 5 Raffle Prizes! Get there early to taste all

To enter your chili, call Nani at 570-360-9007 NEW this year, stage your own table & serve your chili Cash prizes for top 3 chili’s

5K Registration at Campus Theater 8:30 am

5K Race begins 10 am $25+$3 Preregistration… $30 day of event Commemorative performance shirts to first 100 registrants To Pre register:

www.PARunners.com Go to Events & register!

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Meeting Mondays at 5:45 PM, The Lewisburg Club, 131 Market Street, Lewisburg

Hagerstown Rotary Bull and Oyster Roast Feb. 22, 2015 Buy Your Tickets Today!

The Hagerstown Rotary Club’s eleventh annual Bull and Oyster Roast will be Sunday, Feb. 22nd, from noon to 5 p.m. at Hagerstown Community College’s Athletic, Recreation and Community Center. Once again over 1000 people are expected to attend.

This year’s roast will feature raw and fried oysters, pit-roasted beef, Hoffman’s sausages, fried chicken and a number of side dishes and desserts.

Beer, wine, soft drinks, coffee and tea will be served. There will be table games as well as musical entertainment by Verstandig Broadcasting. We will be selling tickets and drawing the winner of our Car Raffle. Please see www.winacarfromrotary.org for details.

Doors will open at noon, and food will be served beginning at 12:30 p.m.

Tickets cost $50.00 per person in advance. Tickets at the door will be $55.00

You must be at least 21 years old to attend. Please bring proper ID.

All proceeds from the event benefit local charities and nonprofit organizations. Last year Hagerstown Rotary gave back over $80,000.00 to our community.

Tickets can be purchased online at www.hagerstownrotarybando.org.

Hagerstown Rotary Club 30

 

FOR MORE INFORMATION GO TO www.7360conference.com OR CONTACT: [email protected]

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DISTRICT 7360 2015 Conference

MAY 1-3, 2015 Connect with Rotary leadership and discover how you can help make a difference in your club and community. We'll have an exciting lineup of speakers and entertainment that you will not want to miss!

Either Register for the Conference and Reserve Rooms Here, or Do It All Online at www.7360conference.com

Select Conference Ticket Options Here (Conference Prices include Meals & Events. Daily discount price increases $5 on March 20th, and another $5 on April 3rd. Sign up early and save) Discount Number Total Price (each) Tickets Cost Friday - Sunday $195.00 X _____ = ______ Saturday - Sunday $125.00 X _____ = ______ Friday, May 1, 2015 Only $70.00 X _____ = ______ Saturday, May 2, 2015 Only $95.00 X _____ = ______ Sunday, May 3, 2015 Only $30.00 X _____ = ______ Total Conference Registration Cost ________

SEE PAGE 2 FOR ADDITIONAL REGISTRATION INFORMATION MAIL THIS FORM AND YOUR CHECK TO: Rotary District 7360 Conference Rotary Club of Waynesboro P.O. Box 523 Waynesboro, PA 17268

Checks Payable to: Rotary Club of Waynesboro Reserve Rooms Here Event Location Radisson Hotel Harrisburg 1150 Camp Hill Bypass Camp Hill, PA 17011 717-763-7117 Venue Website: tinyurl.com/7360radisson

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FOR MORE INFORMATION GO TO www.7360conference.com OR CONTACT: [email protected]

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Additional Registration Information Here - Copy this page as needed and record information for each attendee. - Mail this form with your check. Personal Information Last Name: _________________ First Name: _________________ Address: _____________________________________________ City: _____________________________________________ State: ______________ Zip: ______________ Contact Information Home Phone: (___________)_______________________ Cell Phone: (___________)_______________________ Business Phone: (___________)_______________________ E-Mail Address: ___________________________________ Club Information - Are you a: ! Rotarian ! Rotaract ! Interact ! Non-Rotarian Club Name: ___________________________________ Titles ! PDG ! AG ! PHF ! PP ! Pres ! PE ! Treas ! Sec ! None Dietary Restrictions: please select all restrictions that apply: ! Diabetic Meal ! Dairy Allergy ! Peanut Allergy ! Gluten Free Meals ! Seafood Allergy ! Lactose ! Vegetarian Meals ! Shellfish Allergy ! Vegan ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Personal Information Last Name: _________________ First Name: _________________ Address: _____________________________________________ City: _____________________________________________ State: ______________ Zip: ______________ Contact Information Home Phone: (___________)_______________________ Cell Phone: (___________)_______________________ Business Phone: (___________)_______________________ E-Mail Address: ___________________________________ Club Information - Are you a: ! Rotarian ! Rotaract ! Interact ! Non-Rotarian Club Name: ___________________________________ Titles ! PDG ! AG ! PHF ! PP ! Pres ! PE ! Treas ! Sec ! None Dietary Restrictions: please select all restrictions that apply: ! Diabetic Meal ! Dairy Allergy ! Peanut Allergy ! Gluten Free Meals ! Seafood Allergy ! Lactose ! Vegetarian Meals ! Shellfish Allergy ! Vegan

15 Dec 2014