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DEWEY BEACH LIONS CLUB
International Association of Lions Clubs
Invitation-Application for Membership
Lions Club Name
Member Sponsor
Full Name (Firstl, Last, Middle Initial, Suffix)
Gender
Choose an option
Occupation
Birthday
Spouse's Name
Email Address
Phone
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
I am
Choose an option
Member Number (non new members)
Previous Club Name
Previous Club Number
Member Type
Family Member
Student Member
Current or Former Leo
Young Adult
Enclosed is an entrance fee of $
In addition to a $ ___ amount for international, multi-district and district club dues
I accept membership to Lions club international and that the standards are limited to persons of good character and reputation. I recognize the importance of rendering personal service to my community in cooperation with others civic-minded persons. I understand that membership is not valid until approved by the clubs boards of directors.
Your Signature
Clear
Select a date
Submit
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