Contact Information
Optional: Do you have a ClubRunner login?
User Name:
Password:
Your Information
First Name:
  
Last Name:
  
Badge Name:
Email:
  
Club Name:
Preferred Phone:
Secondary Phone:
Address 1:
Address 2:
City:
Zip/Postal Code:
Country:
State/Province:
Question 1: Do you approve Rotary positioning your flag(s) within 3 feet of your public sidewalk at front?:
  
Question 2: If yes to Question 1, type in Approved. If no to Question 1, please clearly indicate the location on your property or provide instructions of where to place the flag(s):