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Leadership 2001
Registration Form Lions International District 22-C

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About Us

Leadership Retreat 2003

To Register for the Multiple District 22 Leadership Retreat at Lions Camp Merrick, September 5-7, 2003 complete the following form and click on the send button. You may pay at the door. No-shows will be billed.

First Name:

Last Name:

Home Club:

Email Address: (required)

Street #/ Street Name / P.O. Box #/ Apt #/ Suite:

State:
(Two Digit State Code)

Zip Code

If you will be attending all sessions check here: (If not leave blank)

To reserve bunk space in a cabin check here:

If you are not attending all sessions, indicate which sessions you plan to attend.
.. Friday
.. Saturday
.. Sunday

Additional comments regarding your participation. (Optional)

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