Request for Assistance Form

All Requests for Sponsorship, Funding, and Equipment must be submitted in writing.  No other requests will be considered.  The Beaumont & District Lions Club Board of Directors prioritize and review all requests based on internally developed criteria. A response will be provided in a timely manner. 

Please fill out the following form as completely as possible. After completing the form you may submit in person at a regular meeting or send an e-mail to


Please enter the name, age, organization, phone number, address, and e-mail address of the person requiring assistance.  If you are filing this request on behalf of another party, please complete the Submission area with your contact information. To download the Request for Funding Form, please click on the following link.

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