Name of Event Attendee:

Email Address:

District 5110 Club affilliation if any:

Club Office or TRF Position Held:

Event:

Foundation Seminar (10/20/07 8:45am)
WCS Meeting (10/20/07 1:15pm)

I am a new member:

Yes

I am a Paul Harris Fellow:

Yes

I am an Elector:

Yes

Leadership Academy:

Yes

Submit any other information: