Fillable Presidents Citaon RECOGNITION BY CLUBS Presidents Citation to (Optimist International)

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Presidents Citaon RECOGNITION BY CLUBS Presidents Citation to (Optimist International)

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President’s Citaon
RECOGNITION BY CLUBS
President’s Citation to recognize outstanding Member achievement
PLEASE TYPE OR PRINT
Submit to: Recognition Department, Optimist International, 4494 Lindell Blvd., St. Louis, MO 63108 USA
FAX: (314) 371-6006 E-mail: leadership@optimist.org
Recipient’s Name: ________________________________________________Club Number: ____________________________
Club Name: __________________________________________________ Member Number: ____________________________
District Name: _____________________________________________________________________________________________
Submitted by (Club President):_______________________________________________________________________________
Street Address of Club President:____________________________________________________________________________
City: ____________________________________________________State/Province:_______________ ZIP: ________________
Phone of Club President: ( ) _______________________________________________________________(Cell)
( ) ________________________________________________________ (Residence)
( ) __________________________________________________________(Business)
E-mail: ____________________________________________________________________________________________________
Only the 2019-2020 Club President may make application, and it must be received in the International Office
no later than August 31, 2020. Only one recipient per Club will be accepted. The citation will be shipped to the
2019-2020 President for presentation to Member.
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Presidents Citaon RECOGNITION BY CLUBS Presidents Citation to (Optimist International)

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Completed 30 July 2020

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