District One - New England & Quebec

• Altrusa Around the Lakes, ME
• Bangor, ME
• Biddeford-Saco, ME
• Portland, ME

District Two - Atlantic States

• Fauquier County, VA
• New York, NY
• Parkersburg, West Virginia
• Reading Berks, PA
• Richmond, NY
  

District Three - Southeastern United States

• Atlanta, GA
• Charlotte,NC
• Columbus, GA
• Orlando Winter Park, FL
• Spartanburg, SC
• Statesville, NC
  

District Four - Southern United States

• Huntsville, AL
• Johnson City, TN
• Montgomery, AL
  

District Five - Northern United States

• Fostoria, OH
• Mansfield, OH
• Saginaw, MI

District Six - Eastern Midwest

• Champaign-Urbana, IL
• Muncie, IN
• Terre Haute, IN

District Seven - Northern Midwest

• Altrusa Club of Madison, WI

District Eight - Midwest

• Little Rock, AR

District Nine - Texas

• Abilene, TX
• Dallas, TX
• Downtown Dallas, TX
• Greenville, TX
  

District Ten - Southwestern United States

• Clovis, NM
• Montrose, CO

District Eleven - West Coast

• Anaheim, CA
• San Diego, CA
  

District Twelve - Pacific Northwest

• Lake Washington East, WA
• Missoula, MT

District Thirteen - Great Britain and Ireland

District Fourteen - Puerto Rico

• San German, PR
  

District Fifteen - New Zealand

Clubs-At-Large