Invitation - Application for Membership
Lions Club Name:__________________________ Sponsor:_____________________
Name: First______________________ M:____ Last ___________________________
Gender: Male ___ Female___ Non-Binary___ Prefer not to Answer ___
Occupation _________________________________
Date of Birth:__________________ Spouse’s Name:___________________________
Address:________________________________________ City:__________________
State:_______________________________Zip:________
Phone:___________________ Email:_______________________________________
Application: New Member ______
Transfer Member _____ Member-at-Large _____ Associate Member _____
Member Number ________
Club Number:________
Previous Club:_________________________________
Entrance Fee: $ __________ International, District and Club Dues: $__________
I accept membership into Lions Clubs International and that the standards are limited to
persons of good moral character and reputation. I recognized the importance of
rendering personal service to my community in corporation with other civic-minded
persons. I understand that membership is not valid until approved by the club’s board of
directors.
Signature:____________________________________________ Date: ____________
FOR CLUB SECRETARY USE
I confirm that the board of directors has approved this member for membership in this Lions club.
Signature of Club Secretary:______________________________________________________________
OUR MISSION
To empower volunteers to service their communities, meet humanitarian needs,
encourage peace and promote international understanding though Lion clubs.
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