District Governor
Roger N. Messer
11172 SW Mirrorlake Cove
Port St. Lucie, FL 34986-2006
772-340-4670
rogrm6@aol.com |
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District Chairman
Phyllis Kennerk
9855 Holly Street
Sebastian, FL 32976-3101
772-664-1839
erkjpkennerk@msn.com |

GOVERNOR'S ACHIEVEMENT
AWARD
Transfers
Date
1.
Visit the Florida Lions Camp or attend a lecture from a camp representative..
2. Attend two Board of Directors
meetings or your Club.
3. Attend a Zone Meeting.
4. Actively participate in two (2) Club projects.
5. Attend two other Club meetings, or
the Multiple District Convention.
6. Attend two (2) Club social functions.
7.
Visit Southeastern Guide Dogs School or attend a Council of Governors meeting.
8. % Attend 75% or better of the Club meetings.
9. Attend one (1) District Cabinet meeting or Eye Bank meeting.
10.
Visit the Millard Conklin Center, or attend a lecture from a Center
representative..
The Membership Chairman will date and initial each item of achievement as
accomplished and secure the certification by the Club Secretary.
NAME (Member):
Date transferred:
New Club Name:
Old Club Name:
We certify that Lion has met all of the requirements for the Governor's
Achievement Award.
Secretary of Club Signature
Date:
Membership Chairman Signature
Date:
RETURN COMPLETED FORM TO THE DISTRICT CHAIRMAN
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