OFFICIAL
ENTRY FORM 2005-06
Name: _______________________________________ Club Number: __________________
Street Address: ______________________________________________________________
City: ____________________ State/Province: _________________ Postal Code: _________
Country: ____________________________ District #: _______________________________
Club Name: ___________________________
Phone Number:_______________________ E-Mail Address: __________________________
Have you ever served as club president? ______ If so, when did you serve? ______
Circle one contest category: Invitation/Recruiting Retention/Participation
Number of club members prior to implementation:________
Number of club members added or retained: __________
Explain your best method/strategy/plan:
Please mail, fax, or e-mail this entry to: Membership Programs Department, Lions Clubs International, 300 W. 22nd Street, Oak Brook, IL 60523-8842, USA. Fax 630-571-1691 or memberprog@lionsclubs.org Best Practice Entry Form