District 24-C Lions of Virginia

Club Officer Reporting Form

Note: This form will be submitted to District 24-C.
Please complete BOTH Club Officer Reporting Forms: LCI PU101 as well District 24-C. Dual Reporting of club officers will insure that Club Officers receive both information from LCI as well as from the District that is pertinent to their clubs. It is preferred that you report club officers via MyLCI. However, if you do not have access to MyLCI please complete the form located at http://www.lionsclubs.org/EN/common/pdfs/pu101.pdf.

Club Name: Reporting Year:
E-MAIL ADDRESS (if you want a copy emailed to you):

Meeting Time:
Meeting Place:

President: member no
Address 1
Address 2
email address Spouse name
Telephone:
home
work
fax
 
Secretary: member no
Address 1
Address 2
email address Spouse name
Telephone:
home
work
fax
 
Treasurer: member no
Address 1
Address 2
email address Spouse name
Telephone:
home
work
fax
 
Membership Chairperson: member no
Address 1
Address 2
email address Spouse name
Telephone:
home
work
fax