Are you serving as the Delegate for your club? If yes, complete the Delegate/ Alternate Delegate form and return the top portion to Lions Clubs International Headquarters, to the attention of the Member Service Center before May 1, 2016. Bring the bottom portion of the form to the convention and present it when you arrive to certify at the Certification area in the convention center. Before sending the form, be sure a club officer (Club President, Secretary or Treasurer) has signed the form and printed their name on both halves as indicated on form. Mail form to: Lions Clubs International ATTN: Member Service Center 300 W. 22nd Street Oak Brook, IL USA 60523-8842 Email: email@example.com Fax: 630-571-1687 To certify for the election, you will also need to bring a government-issued photo ID with your signature. Are you serving as the Alternate for your club? If yes, do not mail your form. Bring the entire form to convention. You will only need to come to the Certification area in the event you are replacing a delegate. If you are replacing a certified delegate, you will need your signed International Convention Delegate/ Alternate Delegate Form (alternate and officer signatures are required on the form) along with the delegate’s gray copy of their Credential Card. If you do not have both of these items or are replacing a delegate who was not certified, you need to bring an authorized signer with you to the Certification area. A government-issued photo ID and convention name badge will be required for the alternate and officer. If you have questions regarding this process, contact the Member Service Center. Email: firstname.lastname@example.org Phone: 1+630-203-3830 • Fax: 1+630-571-1687 International Convention Allowable Club Delegate Table Delegate count is based on the club’s membership as shown by the records of the international office on the first day of the month last preceding the month in which the convention is held as provided in Article VI, Section 2 of the International constitution and Chapter XVII – Membership, Paragraph B.3.,of the board Policy Manual.
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