LIONS CLUBS INTERNATIONAL DISTRICT 105D CONVENTION

Beaumont House Burfield Road Old WindsorBerkshire SL$ 2JJ

Saturday 23rdMarch 2013

Official Notification of Club Delegates and Alternates

Lions Club of: ______

Number of Members as at 1 February 2013: ______(EXCLUDING those enrolled on or after 31 January 2012)

This form to be completed by all clubs and returned to the District Secretary, Lion Godwin Micallef, Broadlands, Ringwood Road, Three Legged Cross, Wimborne, Dorset, BH21 6RE, by 1stFebruary 2013 at the latest. Nil returns ARE required. Alternatively, forms may be scanned (pdfformatONLY)and sent electronically to

Entitlement.: One delegate and one Alternate for each 10 members or, major part thereof as at 1 February 2013 excluding those enrolled on or after 31 January 2012 (see above and over).

Each Delegate and Alternate must be an Active, Privileged or Life Member. ( i.e. cannot be an Honorary, At Large Associate or Affiliate Member).

REGISTRATION OF DELEGATES
Full Name (Block Caps Please) / Signature of Delegate
REGISTRATION OF ALTERNATES
Full Name (Block Caps Please) / Signature of Alternate

We certify that the above Members have been duly nominated to represent this Club at the 105D District Convention 2013, that the Club membership as defined in Article IX Section 3 of the By-laws of the International Association of Lions Clubs (see over), at the 1st February 2013 was as stated above (please note one year and a day criteria) and that the Club is currently in good standing (i.e. all dues to District, Multiple District and International to date have been paid).

Signed: ______Signed: ______Date: ______

PresidentSecretary

Signed: ______District Secretary.

Failure to return the form by the due date may affect your Club’s entitlement to vote at 105D District Convention 2013. Forms must be signed by the delegates and alternates in the spaces provided and by both the President and Secretary of the Club.

ARTICLE IX OF THE BY-LAWS OF THE INTERNATIONAL ASSOCIATION OF LIONS CLUBS AS AT JULY 2012

"Section 3. CLUB DELEGATE FORMULA. Each chartered club in good standing in the Association and its District (single, sub- and multiple) shall be entitled in each annual convention of its district (single, sub- and multiple) to one (1) delegate and one (1) alternate for each ten (10) members who have been enrolled for at least one year and a day in the club, or major proportion thereof, of said club as shown by the records of the International Office of the first day of the month last preceding that month during which the convention is held, PROVIDED, however that each such club shall be entitled to at least one (1) delegate and one (1) alternate; ...... The major fraction referred to in this section shall be five (5) or more members. Any club which is newly chartered, and any other chartered club which takes in new members prior to the convening of any such convention, shall have its delegate quota determined on the basis of members who have been enrolled in that club for at least one year and a day as shown on such record date in the records of international office...... "

Delegate Entitlement:

Members / Delegates / Members / Delegates / Members / Delegates
1 to 14 / 1 / 15 to 24 / 2 / 25 to 34 / 3
35 to 44 / 4 / 45 to 54 / 5 / 55 to 64 / 6

Etc.