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District 51 Theme 2010-2011: Achieving Greatness Together District 51 Governor: Thannimalai L, DTM E-mail: thanni6@gmail.com District Lieutenant Edu. & Training: Sue Chan, DTM Email: chansnsue@yahoo.com
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District 51 Theme 2010-2011: Achieving Greatness Together District 51 Governor: Thannimalai L, DTM E-mail: thanni6@gmail.com District Lieutenant Edu. & Training: Sue Chan, DTM Email: chansnsue@yahoo.com District Lieutenant Marketing: Ramdas Nayar, DTM E-mail: ramdas.nayar@gmail.com 31 August 2010 For the kind attention of: Ms. Anne Boughton aboughton@toastmasters.org New Clubs - Member Services, Toastmasters International23182 Arroyo Vista , Rancho Santa Margarita, CA 92688 USATelephone: +01-949-858-8255 Ext. 223Fax: +1- 949-858-1207 Email:newclubs@toastmasters.org Dear Anne, Re: District 51 - Application to organize a Toastmasters Club Club Name : ABC Toastmasters Club Club Alignment : Area N1, Division N, District 51 Location : Bayan Lepas, Penang, Malaysia. Requested Month for Club Charter : Effective 31 August 2010. This club will charter with ______ members. Kindly arrange to send the Charter Kit and ____New Member Kits directly to the Club President at the address below: Club President’s Name: Designation: Department: Home/ Business Address: Email: Contact no: +6012-1234567 Thank you. Warm regards, ……………………………… Club President / Area Governor / Division Governor Page 01 of 11
31 August 2010 Bayan Lepas Penang Malaysia 31 August 2010 31st August 2010 Cik/Encik/ Mr/Miss Bayan Lepas, Penang, Malaysia +6012-4380277 abc@gmail.com XYZToastmasters Club Page 02 of 11
1,0000 1234-5678-1234-5678 07/15 XYZ 20 12345678 87654321 000065321 XYZ 000122323 XYZ 000012345 XYZ XYZ 012323232 51 N N1 Page 03 of 11
ABC Toastmasters Club Bayan Lepas, Penang, Malaysia 20 20 $400 Nil Nil - Nil Nil - Nil Nil - $525 N/A 20 $540 $1,065 1234-5678-1234-5678 07/15 XYZ 31 August 2010 31 August 2010 Page 04 of 11
#3 Kolej Matrikulasi Pulau Pinang, 13200 Kepala Batas, Pulau Pinang, Malaysia Name Office/ House Address Email: Page 05 of 11
Kolej Matrikulasi Pulau Pinang, 13200 Kepala Batas, Pulau Pinang, Malaysia Page 06 of 11
b 2010 2011 Name: Page 07 of 11
ABCToastmasters Club +6012-1234567 abc@gmail.com Thursday 1.00 pm Eastin Hotel (with full adress) Penang Bayan Lepas Malaysia 11900 XYZ Toastmasters Club Not applicable to D51 Page 08 of 11
ABC Bayan Lepas, Penang, Malaysia 22 August 2010 31 August 2010 31 August 2010 Page 9 of 11
ABC Bayan Lepas, Penang Malaysia 51 Once every month / quarter 0 0 none none No Restriction $27 6 months Mar/Sept one 20 27 6 months Mar/Sept Thursday Page 10 of 11
XYZ ABC 31 AUGUST 2010 31 AUGUST 2010 Page 11 of 11