OPTION 2
Make-Up Request

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First Name

Last Name


E-mail address

(Provide ONLY ONE valid e-mail address!)


Rotary Club Name

Rotary Club Location (city, state, country)

Rotary Club District

Regular Rotary Club meeting place and time

Date of meeting this makeup is for

How did you find out about the Rotary eClub of District 7890 and our Web site?


Please provide the following regarding the article you read
Name of publication

Article title

Article date

Article author

Article Web address


What ideas or concepts did you draw from this article that are important for consideration by members of your club? Please type your name, Club and e-mail address at the bottom of your response!



Please note that to keep the cost of our Web site to a minimum, we use a third-party form submission system. Please click Submit ONCE, then click "Continue" on the next screen! If you completed all fields correctly and supplied a valid e-mail address, a make-up coupon will be e-mailed to you shortly. PLEASE BE PATIENT!

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