Travel Gavel Trophy

Points Validation

 

Date: ________________________

Club Visited: __________________

 

Visiting Club: ____________________

 

Number of Visitors :_______________

(Requires minimum of 3, for Mixed Event can include Gyros and Gyrettes)

Names of Visitors :_____________________________________________

          

                              _____________________________________________

 

                             ______________________________________________

Event: ____________________________

Comments: ________________________________________

 

                         ___________________________________________________

 

 Signature of Officer of Club Visited: __________________________

 

Signature of Officer of Visiting Club: _________________________

 

 

Forward Immediately to the District Secretary/Treasurer.

 

 

 

 

 

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