ANZI New Club Development Workshops


View New Club Development Consultants
Print New Club Development Request Form

To request a new club development workshop, please complete a request form (pdf) or complete the below form:

* Required
 
 
*District:
*Month to hold training:
*Workshop location:
*Prospective Community #1:
*Type of club to form:
*Proximity to the workshop location: km/miles
Prospective Community #2:
Type of club to form:
Proximity to the workshop location: km/miles
*Estimated number of participants:
Requested Consultant**:
** I understand that it is not guaranteed that he or she will be able to facilitate the workshop
Additional comments on the workshop, prospective communities and/or recruiting methods:

Club Organizer

*Name:
*Lion Title:
*Phone Number:
*Email:
*Cell/Mobile Number:
If you have a P.O. Box, please provide a street mailing address that LCI can ship materials by courier to
*Shipping Address:
*City:
State/Province:
Zip/Postal Code:
*Country:

District Governor Information

If your district governor does not have an email address, please enter in the district secretary's email
*District Governor Name:
*District Governor Email:

Submitted By:

Use club organizer information above? Yes   No
If you are a district governor, check here
*Name:
*Lions Title:
*Phone:
*Email:

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