2015 CLUB LEADERSHIP EDUCATION – INDIANA DISTRICT

Registration Form

Club: ______

Division: ______

CLE Sessions and Locations

Saturday, April 25, 2015 – Vincennes University - Jasper Campus, 850 College Avenue, Jasper

Saturday, May 9, 2015 – Kiwanis International Building, 3636 Woodview Trace, Indianapolis

Saturday, May 16, 2015 – Mishawaka Penn Public Library (Lion Room), 209 Lincolnway East, Mishawaka

Please indicate name(s) of attendees and mark which session will be attended.

Name/Office / 4/25/15
Jasper / 5/9/15
Indy / 5/16/15
Mishawaka
2015-16 President:
2015-16 Secretary:

Please return the completed registration form via mail to:

Indiana District Kiwanis

6525 E. 82nd Street, Suite 109

Indianapolis, IN 46250-1545

Via Fax: 317-578-2507

Via Scan and Email: