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Optimist International - Search
New Club Building
Sponsor Commitment Form
(New)
On behalf of the:
(Sponsoring Club)
(1)
Club #
Name
(2)
Club #
Name
District #
01 - New York - New England
02 - Atlantic Central
03 - Kentucky - West Virginia
04 - Indiana North
05 - Indiana South
06 - South Texas
09 - Southern Wisconsin
10 - Nebraska
12 - Illinois
13 - Alberta, Montana, Saskatchewan & Northern Wyoming
14 - Pacific Southwest
15 - Pacific Southeast
16 - Capital - Virginia
17 - Michigan
19 - New Mexico - West Texas
20 - Pacific Central
21 - GATEway
22 - South Carolina
23 - Wisconsin North - Upper Michigan
24 - Ohio
25 - Colorado - Wyoming
29 - Alabama - Mississippi
30 - East Missouri
31 - Arizona
32 - Pacific Northwest
33 - Maryland - South Delaware
34 - TennArk
35 - Dakotas - Manitoba - Minnesota
36 - West Missouri
37 - Kansas
38 - TexHoma
39 - Louisiana
40 - Iowa
41 - California South
43 - North Carolina East
44 - North Carolina West
45 - Southwestern Ontario
46 - Midwestern Ontario
47 - Central Ontario
49 - Eastern Ontario
50 - Quebec Central
52 - Quebec South
53 - Quebec West
54 - Quebec East - North Shore
55 - Quebec East - Acadie
60 - North Florida
61 - South Florida
78 - Caribbean
82 - Asia
90 - Not In District
91 - Northeast & Great Lakes Region
92 - Southeast Region
93 - Mid-Atlantic Region
94 - Middle American Region
95 - Great Plains Region
96 - Southwest Region
97 - West Coast Region
98 - St. Lawrence Region
99 - International Region
Zone #
I/we hereby commit to sponsor a new Club in the location known as: (New Club Name)
Please note that the proposed name of the New Club is subject to the approval of Optimist International. Also, New Club Building
Progress reports are required and must be filed in a timely manner with Optimist International during the New Club Building Process.
The geographic location of the proposed new Club is in my District
The geographic location of the proposed new Club is out of my District.
(see
International Board Policy I-5
regarding NCB across district boundaries)
Please mark this box if ...
you would like to receive a New Club Building Kit. eMail
Sent
This is a:
College Club
Sports Club
Classification (default: United States - Developed Country):
Default - Use Country
Developed Country
Developing Country
Affiliation (default: United States - No Affiliation Fee):
Default - Use Country
No Affiliation Fee
Special Needs Club
Pilot Program
Young Adult Optimist Club
Search Name
First:
Last:
Mbr #
Name:
Address:
Country:
United States
Canada
Anguilla, Bwi
Antigua And Barbuda
Aruba, Netherlands
Bahamas
Barbados, Bwi
Belize
Bermuda, Uk
Bonaire, Sint Eustatius, Saba
Cayman Islands, Bwi
Cuba
Dominica, Commonwealth Of
Dominican Republic
Grenada
Guadeloupe
Guyana
Haiti
Jamaica
Martinique
Montserrat
Netherlands Antilles
Saint Barthélemy
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Sint Maarten, St. Martin
Suriname
Trinidad And Tobago
Turks And Caicos Islands, Bwi
Virgin Islands, British
Virgin Islands, U.s.
South Sudan
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Antarctica
Argentina
Armenia
Australia
Austria
Azerbaijan
Bangladesh
Bahrain
Belarus
Belgium
Benin
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia, Kampuchea
Cameroon
Cape Verde
Central African Republic
Chad
Chile
China
China, Republic Of
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic Of The
Congo, Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Republic of Cyprus
Czech Republic
Denmark
Djibouti
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia, Republic Of
Germany
Ghana
Gibraltar
Greece
Greenland
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Heard Island And Mcdonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Japan
Jersey
Jordan
Kazakstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos, People'S Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius Island
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Korea, Democratic People'S Republic (North)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Martin
Saint Pierre And Miquelon
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Serbia And Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Korea, Republic Of (South)
Spain
Sri Lanka
Sudan
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syria, Syrian Arab Republic
Taiwan, Province Of China
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis And Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
State/Province:
City:
ZIP/Postal Code:
Home:
Business:
Cell:
Fax:
E-Mail:
Filed Date:
Start Date:
Target Date:
Org Year:
Signature:
Title:
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