District 105W - The Lion magazine
Distribution Details
Amendments for Individual Members
(edit this webpage
with Word, print and post)
From: Lions Club of: .
..
Tel:
To: Lion David Westrup District
Distribution Officer - The Lion magazine,
34,
Laburnum Grove, Haverfordwest,
Pembrokeshire. SA6I
1EU Tel. 01437 766320
Please note the following change as per Section 1 & 2 below:
Section 1
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A |
Amendment
to Address |
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B |
Amendment
to Post Code |
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C |
New
Address and Post Code |
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D |
Change of
Name |
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E |
New
Member |
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F |
Member
Transferred IN |
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From Club |
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G |
Member
Reinstated |
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H |
Member
Transferred OUT |
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To Club |
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I |
Resigned
in Good Standing |
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J |
Dropped
from Membership |
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K |
Deceased |
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Please TICK the appropriate box A to K
in above box and insert the Club at line F or H if applicable.
Section 2
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P |
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T |
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E |
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Please use CAPITAL LETTERS (one per square) in above
box for individual members.
Club Secretary (Print) .. Date
DDO use: Date Rcd. Date Actd.
Form edition April 2003