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Pacific Southwest District
of the American Rose Society

Southern California, Southern Nevada,
Arizona, New Mexico, West Texas

Consulting Rosarian Annual Report Form

Printable Manual Forms
Adobe PDF	MS Word

This report will be automatically emailed to the District CR Chair
Almost all fields must be completed, if none then so state.
If you have an email, please enter.

For on-line submissions, if you have a spouse, please have them complete their own separate submission.

Last Name:

First Name:

Address1:

Address2:

City:

State:

Zip:

Phone:

(Format: 123-456-7890)

Your E-mail Address:

# Programs Presented:
# Articles Written:
# Consultations:
# Cyber CR Contacts:
Completed RIR?	Yes No
Helped in Community Rose Garden or Programs?	Yes No
Offices or Committees held?

Additional Information

Pacific Southwest District of the American Rose Society

Consulting Rosarian Annual Report Form

Pacific Southwest District
of the American Rose Society