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Submit a Form
2007-08 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
Attend both mid-winter and district convention (or equivalent i.e. zone conference)
Distinguished Members will receive a lapel pin and recognition at the 2009 Kiwanis International Convention. (Deadline: October 15, 2008)
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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