Author's Name *

Club Name *

District Number *

Number of Current Members *

Number of New Members this Year *

Names of Members Who Passed *

Names of Members Who Resigned *

Dollar Amount Raised by all Charitable Endeavors *

Name of Club Newsletter *

Did you correspond with other clubs? If yes, please list them below. *

Did you have any visitors from a foreign country? If yes, please list the country and person's name who visited. *

Please list the names of the Rotary clubs you worked with during the year. *

Please list your club’s activities & projects in detail. Outline how these corresponded with the current IIW Theme. Please include any activities or project pertaining to woman’s issues & rights of children. *