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Ruby K Award Submission Form
Instructions for New Member Recruitment Recognition Pins
By recruiting five or more new members during their Kiwanis career, members are eligible for the Ruby K Award. Ruby K pins are available for recruiting 5, 10, 15, 20, 30, 40, etc., up to 100 and in multiples of 25 over 100. The award is cumulative so previous recipients are eligible for a new Ruby K when they recruit additional members.
Please submit your recruiting leaders for Ruby K Award Pins by completing the form below.
* Required
Recruiter Name
Ruby K Award Pin Level
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Ruby K
(specify pin number)
Pin Presentation Date:
*
Submitted by:
Name:
*
Title:
Club President
Club Secretary
Lt. Governor
Governor
Name of Club:
*
District:
*
Address:
*
City:
*
State/Province:
*
ZIP/Postal Code:
*
Country:
*
Daytime Phone:
Home Phone:
Ext.
E-mail:
*
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