Report of Voting Delegates – Civitan Clubs inside North America

Note: This form is STEP ONE to designating your club’s voting delegates. Please read and complete this entire form, and press “submit” to proceed to STEP TWO  – the form where you will list the names of the delegates. 

  • *This form should only be completed by Club Presidents, if for some reason that is not possible, contact scarlet@civitan.org before moving forward.
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    Note: This form is STEP ONE to designating your club’s voting delegates. After completing this entire form, you must press the “submit” button above these logos to proceed to STEP TWO  – the form where you will list the names of the delegates. Unless you proceed and complete the second form on the next page, your club delegate designation will NOT be complete, and your club will not be able to vote in International Elections.