Terminate Member

Use this form to report to District 5220 the termination of a member from your club. Remember to also report this termination to Rotary International through the use of the RI Member Access.

 

Club Name    
Name of individual submitting form    
Email address of individual submitting form    
Member First Name    
Member Middle Initial or Name   Optional
Member Last Name    
RI Member Number of Terminated Member  
Date of Termination    
Comments   Optional
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Rotary District 5220 - Serving California's Central Valley and Mother Lode 

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