DISTRICT LEADERSHIP OPEN HOUSE - MARCH 10, 2012

NOTE:  If you experience problems, you can send information directly to
Diana Patton, DTM - District 25 Governor


Name:

Educational Level:

  

Daytime Phone:

Nighttime Phone:

Email:
Registration: Yes - I am interested in serving in District Leadership during the 2012-2013 year. I plan to attend the Open House on March 10, 2012.

No - I cannot attend the open house on March 10, 2012however I am interested in District Leadership during the 2012-2013 year. Please contact me.


If your club is not listed, please notify the webmaster ASAP.
Primary Club:
Club Officer:
(Choose all applicable) 

Club Name (if not on list above)  
Club Officer:
(Choose all applicable)

 

 



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