International Association of Lions Clubs Invitation-Application for Membership
For Membership information, please complete the following form and send to:
Lions Club of Peabody
23 Olsen Road
Peabody, MA 01960
Member Sponsor: ____________________________________________
First Name: ________________ MI: ___ Last Name: _________________
Gender: Male Female Occupation: ______________________
Date of Birth: ______________ Spouses Name: _____________________
Address: __________________________________________________
City: _____________________ State: ______ Zip: ________________
Primary Telephone: __________________
Cell Phone: _________________________
E-Mail: _________________________________________________
I am a: New Member Former Member
Transfer Member - Member Number:________________
Previous Club Name: ____________________
Previous Club Number: ______________
Enclosed is $75.00 entrance fee. This includes a new member kit, vest, visor, monthly magazine and registration fees for membership in The International Association Of Lions Clubs. Annual Dues are $100.00 and billed semi-annually. ($50.00 June and December).
I accept membership into Lions Clubs International and that the standards are limited to persons of good moral character and reputation. I recognize the importance of rendering personal service to my community in cooperation with other civic-minded persons. I understand that membership is not valid until approved by the club’s board of directors.
Signature: ___________________________ Date: ____________
Mission Statement
TO EMPOWER volunteers to serve their communities, meet humanitarian needs, encourage peace and promote international understanding through Lions Clubs. WE SERVE!