Lions Club Application - Lions Club of Savannah

Name*

Prefix First Middle Last Suffix

Date of Birth*

Spouse's Name

First Last

Address*

Street Address Address Line 2 City State

Email*

Phone*

Candidate's Employer*

Candidate's Occupation/Job Title*

How Many Years in Present Occupation?*

Business Address*

Street Address Address Line 2 City State

Business Email*

Business Phone*

Spouse's Occupation*

Send Mail to*

Are you a former Lion?*

Reason for Leaving

Are you a member of another service Organization?*

If yes, which one(s)?

Agreement*

I understand that there are fees associated with membership into the Lions Clubs, including: an entrance fee, semi-annual dues, semi-annual international per-capita tax and convention fee, $2.38 US, or its equivalent of the above amount for a 6 month subscription to THE LION magazine.
I accept membership into Lions Clubs International. I recognize the importance of rendering personal service to my community in cooperation with other civic-minded persons. I appreciate the opportunity for membership to me by Lions Clubs International.

Phone

This field is for validation purposes and should be left unchanged.