This information will be used by the Pacific Northwest District of Key Club International. Please fill out all information. If you have any questions, please contact the District Administrator.

Key Club of:

Division:

LTG Email:

Your Email:

School Address:

City, State, Postal Code

School Phone:

School Fax:

Meeting Place:

Meeting Day:

Time:

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Kiwanis Advisor Contact Information
Name
Address
City, State, Postal Code
Phone Number
Email Address

Name
Address
City, State, Postal Code
Phone Number
Email Address

Name
Address
City, State, Postal Code
Phone Number
Email Address

Faculty Advisor Contact Information
Name
Address
City, State, Postal Code
Phone Number
Email Address

Name
Address
City, State, Postal Code
Phone Number
Email Address

Name
Address
City, State, Postal Code
Phone Number
Email Address


Officer Contact Information
President:
Name
Address
City, State, Postal Code
Phone Number
Email Address

Vice President:
Name
Address
City, State, Postal Code
Phone Number
Email Address

Secretary:
Name
Address
City, State, Postal Code
Phone Number
Email Address

Treasurer:
Name
Address
City, State, Postal Code
Phone Number
Email Address

Editor:
Name
Address
City, State, Postal Code
Phone Number
Email Address

Additional Contact Information
Name
Address
City, State, Postal Code
Phone Number
Email Address

Name
Address
City, State, Postal Code
Phone Number
Email Address

Name
Address
City, State, Postal Code
Phone Number
Email Address

Name
Address
City, State, Postal Code
Phone Number
Email Address

NOTE: Please verify all information before clicking "Submit."
If you have updated information, please email our district secretary at Secretary@pnwkeyclub.org
Problems? Email: webmaster@pnwkeyclub.org