VISITATION REQUEST

John Hanson, PDG
1110 Kilbourn Ave.
Tomah, WI 54660

Douglas Olson
1401 Lincoln Ave
Tomah WI 54660

District Diabetes Chair’s Club Visitations

Contact PDG John Hanson or Lion Douglas Olson District Diabetes Chairs

Club Name ___________________________________

Meeting Place ­­­­­­­­­________________________________

1st Choice Date_________    2nd Choice Date_________

Times:  Hospitality______ Meal_______ Meeting_______

Directions to meeting Place_________________________

________________________________________________

Diabetes Chair Lion Douglas Olson 608-372-2990 or dareolson@charter.net

Diabetes Co-chair PDG John Hanson 608-372-6484 hansonje2003@yahoo.com