2013-14
Governor’s Distinguished Kiwanis Club Award
To qualify as a Distinguished Club during the 2013-2014 Kiwanis Administrative Year, a club must fulfill the new member requirement and complete the five additional items.
After the club has been qualified by the committee, they shall be awarded a special
Distinguished Club Certificate, a unique banner patch, and have their name listed on the New York District web site.
Club: ______Division: ______
We certify that the above has been completed as indicated.
Club President: ______
Club Secretary: ______Date: ___ / __ /_____
Return this form to:
DPP Bob Kueber, Distinguished Kiwanian Chair
67-13 Myrtle Avenue, Glendale NY 11385 Fax: 718-628-0399 E-mail: