Please submit new officers following election. List the current mailing address, telephone contact numbers (with area code), and email address(es) for each officer.
Click here to download a PDF version of this form. If you choose to complete the form using the PDF version, please mail a copy to Civitan International World Headquarters and your District Governor. You may also email to WHQ at firstname.lastname@example.org.
Report of Civitan Club Officers 2022-2023
Club Officers for 2022-23 (term beginning October 1, 2022)
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