please schedule your visits as soon as possible

District Governor Calendar

If your club hasn’t scheduled your visit with DG Shirley, please complete the following form or email DG Shirley at dg@5m10lions.org:

Your Name *

First

Last

Position *

Please indicate your position in your club (e.g. President, Secretary)

Email *

Telephone *

Please indicate a telephone # you can be reached at.

Club *

Date for Club Visit (1st Choice) *

Date for Club Visit (2nd Choice) *

Time Club Meeting Begins *

Will you have a Board of Directors Meeting prior to this meeting that you would like the District Governor to attend? *

If you answered yes to the preious question, please indicate the time that meeting will begin.

If there will be other clubs in attendance at this meeting, please list the name(s) here

Will the District Governor be expected to install officers? *

If yes, please sent the names of the new officers to dg@5m10lions.org.

Will the District Governor be expected to induct new members? *

If yes, please have the LCI New Member Kit with Pin and signed certificate available.

Will the District Governor be expected to give out awards to club members? *

If yes, please send an additinal letter to dg@5m10lions.org stating the awards and the names of those receiving the awards. Please have awards, certificates, pins or changes in insstallation or induction ceremony available when the District Governor arrives for the visit.

Additional Information

Please include any additional information you would like to share with the District Governor prior to the visit

Phone