Region 8 Club Information Form

Club is in the city of:

Select one: Region 1 through 9

The Name of the Club:

Type of Club
Select more than one if it applies
(Hold down Control to Select or Deselect disjoint items.)

Hall Name:

Hall's Physical Address: { not Mailing }

Start of Season

End of Season

Select Start time of {Pre Rounds if applicable} { If on the 1/4 hrs / early if necessary}

Select AM or PM

Day of the week

When during the Season

Who is the Club Caller & Taw:

Who is the Club Cuer & Taw:

Who is the Club Contact Name :

Contact Phone # Area Code
250 604 509 206
Contact Phone # is :

What is your E-Mail Address :

What is your Full Name:

Let your E-Mail address Stand for this Club
Yes I want to be the Liaison Officer No I don't want to be the Liaison Officer

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Comments:

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