Page 70 - PowerPoint Presentation
P. 70
MD20 Organization of Past District Governors
District 20-Kl PDG Leadership Achievement Nomination
Award Form
Lion Nominee
Address
City State Zip Code
Phone No. Email
Club District
Length of Membership
Person making this Nomination
Club Name&# Phone No.
ALL NOMINATIONS MUST BE SUBMITTED BYE-MAIL NO LATER THAN
JANUARY 6, 2023 to:
PDG Audrey Doorn
E-MAIL: Lionadoorn@gmail.com
Cell Phone: 646-361-6277
Please supply as much information as possible to aid in the selection of this year's
recipient
Categories Dates/Details (Include Dates) Cbeck(x)
Club Involvement/Leadership
Club President
Vice President
Club Secretary
Club Treasurer
GATChair
