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ROTARY 4-WAY TEST ESSAY CONTEST ENTRY FORM- 2017 Name of Rotary Club sponsoring 4-Way Test Essay Contest Student s Name First name Middle Initial Last name Name and Address of Student s Parent s or Guardian s Name of Student s teacher Date form and essay submitted to the local Rotary Club or to a representative of that Club Deadline for submission April 5 2017 Student s Signature FOR CLUB USE ONLY The essay which accompanies this form was submitted for the 4-Way Test Essay Contest sponsored...
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