Officer Elect Report
Use this form to report to Optimist International, the names and information concerning the Optimists who will serve as Club President and Secretary-Treasurer during the next administrative year (Oct 1, 2007 to Sep 30, 2008).
Please do not use nicknames. Please provide street address. No Post Office Box numbers. Be sure to include postal code.
Please complete this report before May 20, 2007 for credit in the Optimist International Awards Program. This report provides OI and the District with current addresses so we can send each club valuable information quickly and easily.
Club Information
District:
32
Zone:
1
2
3
4
5
6
7
8
10
11
12
13
Club #:
Club Name:
OI Year:
2006-2007
2007-2008
2008-2009
OI Fiscal Year these officers will serve
President-Elect
Name:
M/F:
Male
Female
Member #:
Address:
Apt/Suite:
City:
St/Prov:
Ak
BC
Id
Or
Wa
Zip:
Phones:
Res:
Wrk:
Cel:
Email:
Fax:
Address has changed?
Secretary-Elect
Secretary/Treasurer-Elect?
Name:
M/F:
Male
Female
Member #:
Address:
Apt/Suite:
City:
St/Prov:
Ak
BC
Id
Or
Wa
Zip:
Phones:
Res:
Wrk:
Cel:
Email:
Fax:
Address has changed?
Treasurer-Elect
Treasurer does not exist if Secretary/Treasurer-Elect box is checked above
Name:
M/F:
Male
Female
Member #:
Address:
Apt/Suite:
City:
St/Prov:
Ak
BC
Id
Or
Wa
Zip:
Phones:
Res:
Wrk:
Cel:
Email:
Fax:
Address has changed?
Regular Meeting Place and Time
(complete only if changed)
Meeting Place:
Meeting Day:
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Time:
Meeting Frequency:
Weekly
Bi-Weekly
OtherDays
In case your meetings don't fit a standard scenario, check 'OtherDays' to the left, then describe in the box to the right:
Comments:
Person Submitting Report
Name of Officer:
Email:
Office Held:
Officer must be Club President or District Governor