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Get Form H: Governor-nominee Data Form 2007-2024

Governor year District Zone Title (e.g., Mr/Ms/Mrs/Dr/Rev) Suffix (e.g., Jr/Sr/III) Family name First name Middle initial Call name as it should appear on your badge Male Female Single Married Widowed Divorced City, country, and year of birth Member, Rotary Club of (official name of club, including country) RI membership ID number ___________ Current (or former, if retired) classification Current (or former, if retired) firm and position Year you first joined Rotary _________.

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