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2009-10 Distinguished Member Form
To qualify, club members must complete the following:
* Required field
Recruit two (2) new active members
New Member:
*
New Member:
*
Participate in six (6) service projects
Financially support the Kiwanis International Foundation
Attend either a mid-year conference, International convention, or district convention. Equivalent meeting may be Kiwanis University, Zone or Regional Conference, or other district event.
Distinguished Members will receive a lapel pin and recognition at the 2011 Kiwanis International Convention. (Deadline: October 15, 2010)
Distinguished Member:
*
Member ID#:
*
Club Name:
*
Club Key#:
*
Division:
*
District:
*
The Club President must verify members that qualify for Distinguished Member.
President’s Name:
*
President's E-mail Address (must be working address):
*
Submitted By:
*
Submitter's E-mail:
*
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