Kiwanians Who Passed in the Last Year

We will produce a video to be shown at DCON honoring Southwest District members, and your friend, who passed in the last year.

Please provide a short statement, about 200 words or less, honoring your friend and up to 7 pictures.

We are sorry for the loss of your friend and fellow Kiwanian. On behalf of the SWD we offer you our condolences.

We need time to produce the video. This form will close on July 17, 2022 at 11:59 PM. We are unable to accept submissions after that time.

If you have trouble using this form please contact Executive Director kenneth garley at swd@swdkiwanis.org or 888.974.3403 for assistance.

CLUB INFORMATION (Club Name, Key Number, Division) *

CLUB INFORMATION (Club Name, Key Number, Division)

YOUR NAME (First & Last) *

YOUR TITLE *

YOUR EMAIL ADDRESS *

Enter Email

Phone

Kiwanian Who Passed FIRST NAME, LAST NAME *

Date of Passing *

Drag and Drop your statement and photos into the box below.

Maximum upload size: 516MB