District 14-R Lions Club's Officer Reporting Form for 2010-2011 Lions Year

Report Generated:

Lion Secretary: Use this form to report the name and addresses of your newly elected club officers. This form is extremely important -- all communications your new officers receive during their year in office will be based on the information you provide here. Please submit this information immediately following your club elections in April. Final deadline is May 15. If you fail to submit this information, your new officers will not be able to receive the information and materials they will need during the coming year.

Please enter the following and press the Submit Officer Reporting Form button at the bottom of the form:

Fields marked with an asterisk (*) are required.

Club Information:

Select your club, enter your club's mailing address and enter your club's web site address (if any)

Club Name*:
Club Number: Region: Zone:
Address*:
City*:State*:Zip*:
Website URL:

Meeting Information:

Select your club's meeting day(s) and enter your club's meeting place information:

  Sunday Monday Tuesday Wednesday Thursday Friday Saturday
1st Week:
2nd Week:
3rd Week:
4th Week:

1st  Meeting Place Information:

Meeting Place*:
Address*:
City*:State*:Zip*:
Time: :

2nd  Meeting Place Information:

Meeting Place*:
Address*:
City*:State*:Zip*:
Time: :

3rd  Meeting Place Information:

Meeting Place*:
Address*:
City*:State*:Zip*:
Time: :

4th  Meeting Place Information:

Meeting Place*:
Address*:
City*:State*:Zip*:
Time: :

Club Officer's Information:

Member Numbers are indicated on your semi-annual per capita.

Any change in club officers during the fiscal year must be reported to headquarters.

Club President's Information:

Enter the following information for your club's President:

Name*:    
Address*:
City*:State*:Zip*:
Email Address:    Spouse Name:
Home Phone:    Business Phone:
Send President's Mail to Club Address

Club Secretary's Information:

Enter the following information for your club's Secretary:

Name*:    
Address*:
City*:State*:Zip*:
Email Address:    Spouse Name:
Home Phone:    Business Phone:
Send Secretary's Mail to Club Address

Club Treasurer's Information:

Enter the following information for your club's Treasurer:

Name*:    
Address*:
City*:State*:Zip*:
Email Address:    Spouse Name:
Home Phone:    Business Phone:
Send Treasurer's Mail to Club Address

Club Membership Chairperson's Information:

Enter the following information for your club's Membership Chairperson:

Name:    Member Number:
Address:
City:State:Zip:
Email Address:    Spouse Name:
Home Phone:    Business Phone:
Send Chairperson's Mail to Club Address