These details are being submitted on behalf of the following Club:

Club Name
Club Number

The Club's contact details are:

You can leave this section blank if the Club's mailing address and phone and email contacts are unchanged from those in the current Directory and on the District website. Otherwise it is only necessary to enter revised information.

It is District 70 policy that every Club should be encouraged to have a P.O. Box. If you have one, this should be listed as your mailing address.
Club Mailing Address
Address (cont.)
City / Suburb
State		Post Code
Your Club “phone contact” person need not be the President or Vice President Education. It needs to be a Club member who can provide information about your Club to prospective members who call from the District website or are referred by District Enquiries. Most of these calls are made during normal working hours, so the contact should be generally available both during and after hours and/or have an answering machine or service.
Phone Contact Number	Provide phone contact's number
Contact Name	Provide phone contact's name
District 70 strongly recommends that you also provide an email address for your Club. This will be Used by District to send timely information to your Club Used by other Clubs to contact you and your Officers Listed on this District website for enquirers to use to contact you about joining. You can Use a dedicated Club email address where your Club has an account with an ISP (also normally available where your Club has a website) Use a member’s address where that member agrees to be the contact for the Club Get a “free” email address from either hotmail or yahoo that Club Executive members can access. Whichever type you use, the person responsible for the address should be prepared to check it regularly and then pass on messages to other Club Officers and members as appropriate.
Club Email address

The Club's Meeting details are:

You can leave this section blank if the details are unchanged from those in the current Directory and on the District website.

Venue
Venue Address
Address (cont.)
Address (cont.)
Meeting Day
Start  time
Frequency
Meals

The Club's Officers for the next term are:

President
First Name
Last Name
Award	e.g. ATM-B
Phone	Home Work Mobile (select one)

Vice President Education
First Name
Last Name
Award	e.g. ATM-B
Phone	Home Work Mobile (select one)

It is essential that all members whose phone and/or email details are provided on this form have agreed to have the information included as appropriate in the District Directory and on the District website.
The person submitting this form acknowledges that this agreement has been obtained.

        This form is submitted by:

Name
Office
Email