NEBRASKA-IOWA KIWANIS DISTRICT

CLUB INFORMATION UPDATE FORM

Change/Add/Delete Club:

Club Name: Club ID Num: Division:
(please use full club name as from Kiwanis International)

Club Website:

Change/Add Club Information: Effective Date:

Meeting Location:

Meeting Day: Meeting Time:

Club Meets: If not weekly:

Change/Add Club Officer Information: Administrative Year:

President's Name: President's Email:

President's Work Phone: President's Home Phone:

Secretary's Name: Secretary's Email:

Secretary's Work Phone: Secretary's Home Phone:

Comments:

Submitter Information:

Submitted by:

Your Name: Your Email: