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Deceased Rotarian
October 12, 2020 @ 8:00 am
-
June 30, 2022 @ 5:00 pm
Deceased Rotarian Information Form
Please provide the information requested so that we can inform the membership of the passing of one of our own.
Contact Information
You are the point person for information about the deceased.
Name of person completing this form
*
First
Last
Email
*
Enter Email
Confirm Email
Preferred Phone Number
*
In case we need more informaiton
Deceased Rotarian information
Rotarian or Honorary
*
Was the Deceased an active Rotarian or Honorary Member at the time of passing.
Rotarian
Honorary
Name of Deceased
*
Prefix
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
First
Last
Suffix
Rotary Club of Deceased Rotarian
*
--PLEASE SELECT FROM THE LIST BELOW--
Absecon - Galloway
Asbury Park
Atlantic City
Audubon
Barnegat
Belmar-Wall
Berlin
Bordentown
Brick Morning
Brick Township
Bridgeton
Burlington
Camden
Central Ocean
Cherry Hill
Collingswood
Deptford
eClub of District 7505
Forked River
Freehold
Garden State of Cherry Hill
Glassboro
Gloucester City - Brooklawn
Gloucester Township - Pine Hill
Great Bay (Tuckerton)
Haddon Heights
Haddonfield
Hammonton
Jackson
Lakehurst-Manchester Township
Long Beach Island (Ship Bottom)
Long Branch
Lower Township
Maple Shade
Marlton
Matawan-Aberdeen
Mays Landing - Egg Harbor City
Medford Sunrise
Medford-Vincentown
Moorestown Breakfast
Moorestown Lunch
Mount Ephraim
Mount Holly
Mount Laurel
Mullica Hill
Ocean City - Upper Township
Pemberton
Penns Grove
Pennsauken - Merchantville
Pennsville
Pitman
Point Pleasant Beach
Point Pleasant Boro
Red Bank
Runnemede - Bellmawr - Glendora
Salem
Somers Point
Southern Ocean
Spring Lake-Brielle
Tinton Falls
Toms River
Toms River Sunrise
Tri County (Vineland-Millville-Buena-Newfield)
Vineland
Voorhees Breakfast
Voorhees Township
Washington Township
White Horse (Strafford-Lindenwold)
Wildwood
Williamstown
Williamstown Sunrise
Willingboro
Winslow Township
Woodbury
Woodstown
Other
Date of Passing
*
MM slash DD slash YYYY
Name of spouse or family member
*
Name of Spouse or Family Member who can receive notes, cards, flowers, etc.
First
Last
Address of spouse or family member
*
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Link to the Funeral Home - must have
*
Please provide the link to the Funeral Home
Δ
Details
Start:
October 12, 2020 @ 8:00 am
End:
June 30 @ 5:00 pm
Organizer
District 7505 Office
Phone:
(856) 205-9600
Email:
office@rotarydistrict7505.org
Website:
www.rotarydistrict7505.org
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+ Add to iCalendar
Details
Start:
October 12, 2020 @ 8:00 am
End:
June 30 @ 5:00 pm
Organizer
District 7505 Office
Phone:
(856) 205-9600
Email:
office@rotarydistrict7505.org
Website:
www.rotarydistrict7505.org
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