Membership Application

Membership Application

Apply to become a member of our club by completing this form.
Full Name*

First NameLast Name
Do yoy have a nickname you prefer?
Name
Date of Birth

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Spouse's Name (if applicable)

First NameLast Name
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
- Business Address
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Business Phone Number
  Please enter a valid phone number.
- Individual Membership Requirements:
  1. A fee in the amount of $124.00 ($39.00 joining fee, plus $85 for annual dues, international per capita tax, convention fee and a subscription to “THE LION” magazine) must be received by the club before the candidate will be inducted.
  2. Candidate must attend 2 meetings (in person or virtual) before they will be inducted.
  3. Candidate must have a sponsor. The Membership Chairperson will act as their sponsor if they do not have one.
  I realize that membership in my Lions Club is attained by invitation only, that the standards are reasonably high and limited to persons of good moral character and reputation. Recognizing the importance of rendering personal service to my community in cooperation with other civic-minded persons, and appreciating the opportunity afforded me to enjoy the good fellowship and prestige of Lions Clubs International, I hereby accept membership.
- Signature
  
  Powered by Jotform SignClear
- Tell us about yourself! Please list your hometown, your top 2 hobbies, and any other volunteer work you do, below:
- Please check the committee(s)/event(s) you might wish to join. Your interest will be shared with the committee chair. Do you want to know more about each committee/event? Go to our Lions Website for descriptions, dates and pictures: fraservalleylions.org.
  
  GOLF TOURNAMENTGOLF TOURNAMENT SILENT AUCTIONPANCAKE BREAKFASTSFISHING DERBYFOOD DRIVESBIKE RACE AIDE STATIONCHRISTMAS FESTIVAL OF TREESCHRISTMAS TREE SALESPOWDER PARTNERSLIONS FOUNDATION - GRANTSLIONS FOUNDATION - SCHOLARSHIPSSTRUMMIN’ FOR THE LIONSWEDNESDAY GROCERY PICKUPSTUDENT VISION SCREENINGSSHINING STARS DINNERCRANMER CHAPEL DINNERPICKUP TRUCK – MOVE SIGNS, ETC.
Should be Empty: