Lions Clubs International / New Club Operations Department Lions Clubs International / /
Country
United States / Canada / /
Currency
USD / / /
Event
Person Communication and Meetings / /
Facility
Club Name / Club Sponsor / Club Identification/Number / International Headquarters / Club Number____________________________________________ Club Number__________________________________________ Is / / /
Organization
New Club / International Association of Lions Clubs / When / Sponsoring Club / Members All / International Board of Directors / Executive Committee / International Office / Proposed Club / Membership and New Club Operations Department / Lions Club / Lion / / /
Position
district governor and the vice district governor / official / district governor / Governor / president and the secretary / president and secretary / President / Email Treasurer / RT / Current District Governor / Print District Governor / extension representative / consultant / Email Membership Chairperson / OFFICER SIGNATURES President / First Name Secretary / OFFICERS President / Secretary / Officer / LIONS The district governor / district governor in office / /
L I O N S C L U B C H A RT E R A P P L I C AT I O N CLUB NUMBER: ______________________ IDENT:________________________________ CHARTER APPROVAL DATE Please submit with: