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Fill out this form to enter the Web Page Contest

First we need some general information about you, so we can contact you about your web page. This information will not appear on the web page. Your Name:
Your E-mail:

Next we need some information about your club for the opening information on the web page. The Name of Your Lions Club: (example: Haymarket Lions Club)
Area that you serve: (example: We serve upper Prince William County)

This is the opening or welcoming paragraph. You may wish to include some history of your club here. It will be one of the first things that the user will read. Opening paragraph to be included:

Then we will go to the officers of the club. Provide the following information for each officer. Name of your club president:
Does your president have e-mail? If yes, E-mail of your club president:
File name of club president picture:
Biographical sketch for the president:
Name of your club secretary:
Does your secretary have e-mail? If yes, E-mail of your club secretary:
File name of club secretary picture:
Biographical sketch for the secretary:
Name of your club treasurer:
E-mail of your club treasurer:
File name of club treasurer picture:
Biographical sketch for the treasurer:
// Town, State and Zip Code of Home:

Thank you. We will be in contact with you via e-mail.