Kiwanis International – NZ-SP District
2024/2025 ANNUAL REPORT OF CLUB ELECTION 
This form is to be used to report the incoming officers for the 2024/2025 year.
Please type or print legibly as it should appear in the Kiwanis NZ-SP district directory. 

Club Key number (if known) : K  _________  Club name : ________________________________________________ 
District:  New Zealand South Pacific (35)

Name and street address of the club meeting place : _______________________________________________________

Day of week for the club meetings : __________________________________________    Starting time : ____________
                  E.g. “2nd and 4th Wednesday”  or  “last Saturday of the month”  or  “2nd Thursday (monthly)”.

If the club has a postal address for all correspondence (for example a post office box), list the postal address on the next line.  Otherwise written correspondence will be sent to the postal address of the club secretary :

_______________________________________________________________________________________________

President 1/10/2024 to 30/9/2025:  	President elect 1/10/2024 to 30/9/2025:  

____________________________________________	______________________________________________
Last name,  First name(s)	Last name,  First name(s)

Postal address : _______________________________	Postal address : _________________________________

City  _______________________________	City  _______________________________

Postal code : ________________ Country : _________	Postal code : ________________ Country : ___________

Preferred phone : _______________________________	Preferred phone : ________________________________
Please include area code (if N.Z.) & indicate home, work or mobile	Please include area code  (if N.Z.) & indicate home, work or mobile

E-mail address : _______________________________	E-mail address : _________________________________

Secretary 1/10/2024 to 30/9/2025:  	Treasurer 1/10/2024 to 30/9/2025:  

___________________________________________	_____________________________________________
Last name,  First name(s)	Last name,  First name(s)

Postal address : ______________________________	Postal address : _________________________________

City : ______________________________	City : _______________________________

Postal code : ______________  Country : ___________	Postal code : ______________  Country ____________

Preferred phone : _______________________________	Preferred phone : ________________________________
Please include area code  (if N.Z.) & indicate home, work or mobile	Please include area code  (if N.Z.) & indicate home, work or mobile

E-mail address : ________________________________	E-mail address : _________________________________

Please note: Some of the information you provide will appear in the Kiwanis NZ-SP district directory.  
This information also may be listed in an electronic format on our Web site (which is password protected).

Current club secretary signature : __________________________________________  Date : ___________________

Please send one copy to the district office by: 1 JUNE, 2024.
P. O. Box 19-119, Hamilton 3244, New Zealand   <webmaster@kiwanis.org.nz>