Fillable optimist international The Report Form now program

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optimist international The Report Form now program

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The Report Form
To qualify for the Optimist International NOW Program banner patch your Club
must recruit at least three (3) New Members as a result of your NOW Program.
Please fill out the following form and submit it to the Membership Services
Department of Optimist International, 4494 Lindell Boulevard, St. Louis, MO
63108.
When did you hold your NOW Banquet (Date)? ______________________________________________________
How many guests were invited? ______________ How many guests attended? ___________________________
How many new Members joined your Club
because of the NOW Program? _______________________________
How many potential Members need to receive additional follow-up? _____________________________________
Were there any guests who were just not interested? _____________ If so, how many? ____________________
When do you plan to do another NOW Program? ____________________________________________________
What did your Club do that made your NOW Program unique? _________________________________________
___________________________________________________________________________________________
Did you have any problems? If so, what happened and how do you plan to correct the problem?
________________
___________________________________________________________________________
___________________________________________________________________________________________
Club Information:
Club Name ___________________________________________ Club Number _________________________
District _______________________________________________ District Number _______________________
Club President Name __________________________________________________________________________
Address _____________________________________________________________________________________
City/State/Province _____________________________________ ZIP/Postal Code _______________________
Signature ______________________________________________ Date ___________________________________
You can also submit your form to membership@optimist.org or fax it to (314) 371-6006
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Completed 22 December 2019

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