Lieutenant Governor Contact Information Collection Form
Please submit your clubs' contact information here. Please remember that in order for a club to count, you must submit the name and email address of the adviser and president for the 2018 - 2019 year. If you have any questions concerning this form or collecting contact information in general please contact District Secretary Savannah Josey at sec1819@carolinaskeyclub.org.
Your Name: *
Your answer
Your Position: *
(Lieutenant Governor, Club President, etc.)
Your answer
Your Email: *
Your answer
Division Number: *
Your answer
School Name: *
Your answer
Advisor Name:
Your answer
Advisor Email:
Your answer
Advisor Phone Number:
Your answer
President Name:
Your answer
President Email:
Your answer
President Phone Number:
Your answer
Other Officer Information:
Your answer
Any Questions for Executive Officers?
Your answer
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This form was created inside of Carolinas District Key Club.