District 70 Officer Information Form
We need information from each District and Staff Officer so we can prepare the Directory and update the District website for the coming year. The information you provide will be shown as you tell us.

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

Your District Office  
First Name  
Last Name  
Educational Award

  List highest, including one expected to be received within a month
Leadership Award

  List highest, including one expected to be received within a month
   
Birthday    Select day        and month      
Mailing Address  
Address (cont.)  
City / Suburb  
State  

Post Code

  
Home Phone Number

 
Work Phone Number  
Mobile Phone Number  
Facsimile  

All members of the District Executive Committee and most Staff Officers will be allocated a spam filtered District email address at our d70toastmasters.org domain. Mail to this address will be auto-forwarded to the private email address you nominate below.

Your District 70 email address will be

  • Used by District to send timely information to you about District meetings
  • Used by Clubs to contact you
  • Listed on this District website for Clubs and members to use to contact you.
 Private email address

It is essential that you confirm that all the details shown on this form may be published in the District Directory and that your name, District office, home or mobile phone number and your email address can be placed on the District website.

The action of clicking the Submit button below indicates your agreement to this proposed action by the District.

                 

Go back to Club and District Officer Information

Toastmasters International District 70
Revised: 27 Nov, 2011