Lions
Leadership Conference
  Lions International District 22-C
Multiple District 22
Annual Leadership Conference
September 5-7, 2003
Lions Camp Merrick

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Leadership 2003 Registration Form

Mail to:

Lion Jill McCrory
3919 Baltimore Street
Kensington, MD 20895

Please send with $25.00 registration fee before August 31st.
Make check payable to: Multiple District 22.
(Note on the check that it is for Multiple District Leadership Training)

Name:_________________________________________________

Street Address:__________________________________________

City:__________________________ State:______ Zip:__________

Phone:(___) ________ Fax: (___)________ E-Mail:______________

Club: ___________________________________

Do you plan to stay at Camp Merrick? ___Yes; ___No

Arrival date:________________ Departure date:_________________

___Please check here if you have any special needs, including dietary, in order to fully participate. Please Specify:

Need more info? Call your District Leadership Chairman or Lion Jill at 240-430-0770

jmccrory@leadershipoutfitters.com

 

 

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