Membership Application

Membership Application
Who are Lions?

Lions meet the needs of local communities and the world. The 1.4 million members of our volunteer organization in over 200 countries and geographic areas are different in many ways, but share a core belief – community is what we make it.

Lions Serve

When caring people join together, roll up their sleeves and take action to make their community better, it’s a beautiful thing—and an incredible feeling for everyone involved. That’s Lions. Being a Lion is about leading by example, building relationships and improving the world through kindness. It’s 1.4 million caring men and women serving together so they can make a lasting impact and change more lives.
Coos Bay Lions Club
Member sponsor - Who invited you to join the club?
Name

First NameLast Name
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Gender

MaleFemaleNon-BinaryPrefer not to answer
Occupation
Occupation
Date of birth

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Spouse’s name
Spouse's name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please enter a valid phone number.
Email
example@example.com
I am a:

New MemberFormer MemberTransfer Member (add more info below)Family MemberStudent MemberCurrent or former LeoYoung Adult
Former Member number
former member number
Previous Club Name
Previous Club Name
Membership Fees:

Included, international, state and local membership fees:

Memberships are active July 1 through June 30 each year
- $90 annually per member
- $45 annually per each additional family member
- $7.50 per month prorated membership
Form of Payment

Check: please mail to CB Lions, PO Box 3, Coos Bay OR 97420Credit Card: please send me an electronic invoice to the email aboveI would like to make payments, please contact me for more informationOther
By my electronic signature below, I accept membership into Lions Club International and that they standards are limited to persons of good moral character and reputation. I recognize the importance of rendering person 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.
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OUR MISSION
To empower volunteers to serve their communities, meet humanitarian needs, encourage peace and promote international understanding through Lions clubs.
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Membership Application

Who are Lions?

Lions Serve

Coos Bay Lions Club

Membership Fees:

OUR MISSION