URGENT! THIS IS YOUR 2017-2018 LIONS CLUB’S OFFICER REPORTING FORM - PU101 Club Secretary, This form is used to report details to the Cabinet Secretary of your newly elected club officers. The Cabinet Secretary will pass this information on to the national Office in Newcastle, and to Lions Clubs International headquarters in Oak Brook. This form is EXTREMELY IMPORTANT since all communications you receive during your new executive's term of office will be based on the information you provide below. Please check the information for accuracy and note clearly any alterations. Additional information should be TYPED in the space provided. If you are not absolutely sure of any piece of information, please check with the person concerned before completing the form and send IMMEDIATELY following your election of officers but to reach the Cabinet Secretary no later than 21st April 2017. If no information is received it will be noted in the Directory that no information was supplied.
IDENT. CLUB NO. DISTRICT NAME OF CLUB OFFICE USE ONLY LANG. COUNTRY Your meeting place and time are indicated on the left. If different, please indicate below. (PLEASE INDICATE DAY, WEEK & HOUR OF MEETING)
SUN. MON. TUE. WED. THUR. FRI. SAT. EACH WEEK 1ST WEEK 2ND WEEK 3RD WEEK 4TH WEEK ALTERNATE WEEKS HOUR
MEETING PLACE STREET ADDRESS
Clubs email address: Any change in club officers during the fiscal year must be reported to Cabinet Secretary *MEMBER NUMBERS ARE INDICATED ON YOUR SEMI-ANNUAL PER CAPITA. PLEASE INDICATE BELOW MAILING ADDRESS FOR INCOMING CLUB OFFICERS
PRESIDENT TITLE GIVEN NAME PREFERED NAME FAMILY NAME
HOME PREFERED PHONE ALTERNATIVE PHONE
EMAIL MEMBER NO.
PARTNER'S NAME
SECRETARY TITLE GIVEN NAME PREFERED NAME FAMILY NAME
HOME PREFERED PHONE ALTERNATIVE PHONE
EMAIL MEMBER NO.
PARTNER'S NAME
TREASURER TITLE GIVEN NAME PREFERED NAME FAMILY NAME
HOME PREFERED PHONE ALTERNATIVE PHONE
EMAIL MEMBER NO. PARTNER'S NAME
MEMBERSHIP TITLE GIVEN NAME PREFERED NAME FAMILY NAME
CHAIRMAN
HOME PREFERED PHONE ALTERNATIVE PHONE
EMAIL MEMBER NO.
PARTNER'S NAME
PU101-AUST 2017