Are you serving as the Delegate or Alternate Delegate for your club?
Are you serving as the Delegate or Alternate Delegate for your club?
Are you serving as the Delegate or Alternate Delegate for your club?
If yes, please complete the attached form and return the top half of the form to Lions Clubs International Headquarters, to the attention of the Club & Officer RecordAdministration Department before May 1, 2012.
Bring the bottom half of the form to the convention and present it when you arrive to certify at the Credentials area in the convention center. Before sending the form, be sure a club officer( Club President, Secretary or Treasurer) signs both halves as indicated on form.
The address to mail the form is: Lions Clubs International 300 W. 22nd Street Oak Brook, Il 60523-8842
In order to certify for the election, you will also need to bring:
a. Passport, Lions Membership Card, Visa or Master Card( charge card), Driver’ s License, Social Security Card, National Identification Card or some other acceptable identification showing your signature.
b. Please be sure your club number is clearly printed on the delegate form for quicker processing.
See reverse side of the form to determine the number of allowable delegates for your club.
If you have any questions regarding this certification request, please contact the Club & Officer Records Administration Department via email at stats @ lionsclubs. org or by calling 630-468-6938 or you can fax your form to 630-706-9295.
Thank you
THE LION
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