AWARD
CERTIFICATION DOCUMENT
(CLUB
NUMBER)
I , PRESIDENT
(PRESIDENT OF CLUB)
OPTIMIST
CLUB
OF
(NAME OF CLUB)
DO HEREBY CERTIFY THAT OUR CLUB HONORED
WITH A
(NAME OF CLUB MEMBER OR LOCAL COMMUNITY INDIVIDUAL)
ON
(TYPE OF HONOR OR AWARD)
(DATE OF PRESENTATION)
SIGNED
(CLUB PRESIDENT) (DATE)
If your Club is located in Canada, please mail this completed form to the Canadian Service Centre,
Optimist International, 5205, boul. Metropolitain Est, bureau 200, Montreal, QC H1R 1Z7.
Attn: Beatrice Rossignol or email rossignolb@optimist.org
If your Club is located in the USA or Caribbean, please mail this completed form to
Optimist International, 4494 Lindell Blvd St. Louis, MO 63108.
Attn: Jackie Moore or email moorej@optimist.org | Fax # 314-371-6006
To report your service projects, click on the Presidents Pride Report link at:
http://www.optimist.org/Form/President_Pride-2014-2015.pdf