Appoint a Club Foundation Representative

Use the form below to contact the Optimist International Foundation of Canada, or click here to return to the home page.

Subject: Appoint a Club Foundation Representative (or to comment on another subject click here).

Member Name (First and Last)

Member Number (Required)

Female

Male

Gender

Email Address (Optional; provide if available)

Home Number (xxx-xxx-xxxx) (Required)

Business Number (xxx-xxx-xxxx)

Mailing Address

City

Province

Postal Code (xxxxxxx)

Optimist Club Number

This appointment is for what year?