2026-2027 District Governor Team Club Visit Request Form 
Please fill out the form below completely.  The Governor Team consists of District Governor, First District Governor and spouse, and Second District Governor. You will receive confirmation of your scheduled District Governor Team visit, more communication will follow closer to the date requested. Thank you 
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Club Name  *
Preferred Date *
Alternative Date *
Joint Meeting with other Clubs?  *
If a joint meeting, please list the clubs attending
Is there Dinner?  *
What time will Social Time start?  *
Time
:
What time will Dinner start?  *
Time
:
What time will the Meeting start?  *
Time
:
Contact Person, please include email and phone  *
Meeting Site Location, please include address  *
Do you have Special Requests (Installing Officers, Inducting New members, Presenting awards, ect)  *
Please note Governor team includes District Governor, 1st District Governor, 2nd District Governor, and spouse. If you club typically only includes free meal for DG, we will play for the additional meals. How many meal will be paid for?  *
Would you like the Governor Team in  *
Would you like the Zone chair invited?  *
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