Club Request for CEP

To request the Club Excellence Process for your club, please complete the below form:

* Required

*Club Name:

*Club Number:

*District:

*Name:

*Phone:

*E-mail:

Please provide a street address for materials shipped by courier

*Address:

*City:

State/Province:

Zip/Postal Code:

*Country:

*How many club members will be participating in CEP?

*Name:

*Position/Title:

*Phone:

*E-mail:

Please Enter This Security Code Below:	SXBW9FC
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