Shrewsbury Area Centennial Lions Club Membership Application

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Lions Clubs operate through the payment of member dues. This allows us to allocate all funds raised in the community back to service to our community. Our club offers a variety of membership types each with different dues amounts. After submitting your application our Board of Directors will vote on your membership. Once approved you will be contacted to be welcomed as well as to discuss your payment options. Your dues cover International, State, Local, and Club dues as well as a membership t-shirt.

Choose Your Membership Type *

New Member: $120 annual dues + $35 new member fee.

Transfer Member: $120 annual dues + no entrance fee when transferring within 12 months

Family Membership: $120 annual dues for HOH + $98.50 annual dues for up to 4 family members ($35 new member fee/person)

Student: $98.50 annual dues + no new member fee when joining between ages 18-30

Leo to Lion: $98.50 annual dues + no new member fee

First Name *

Last Name *

Suffix

Lion Member Sponsor

Gender *

Male

Female

Occupation

Date of Birth *

YYYY

Spouse Name

Children/Additional household members joining

Street Address *

City *

State *

Zip Code *

Mailing Address if different

Email Address *

Phone Number *

Can phone be used for sending/receiving text messages? *

Yes

Transfer and Former Members: Include your previous club name/location and membership number if known

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. *

Yes

Type Your Full Legal Name for Signature *

Date of Signature *

YYYY

Submit

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