Positive Opportunities
with Exceptional Results
   
Home   Site Map   Contact Us
   

Half CC Request Form

Skip Navigation Links
   Skip Navigation Links
Note: Usually, the President or the VPE should submit this form after a member has given 4 or 5 speeches. The certificate will be mailed to the person submitting the form so they can present it to the member(s) at a Club meeting.

* Indicates required information

Information About You

*Name:
*Address:
Address Line 2:
*City, State Zip:
*Email:
*Phone:
*Club Name: *Club Number:
Club Office:

Members Who Have Earned Half-CC's
 
Name
Number of Speeches Completed
1
2
3
4
5


Comments:


  Contact the Webmasters