Application for Membership

The following information will be submitted in confidence to the Hanover Lions Club Executive who reviews and responds to all applications for membership. You will be contacted shortly regarding your application.

Title:

Mr. Miss. Ms.

First name:

Middle Initial:

Last name:

Nickname:

Your Email Address:

Date of birth:

Spouse Information

NOTE: If your spouse is applying for membership a separate application will be required.

Spouse's Name:

Spouse's Occupation:

Your Occupational Information

Candidate's Employer:

Candidate's Occupation\Title:

Business Address:

Business City:

Business Postal Code:

Business Phone Number:

Home Information

Address:

City:

Postal Code:

Phone Number:

Your Sponsor

Your Sponsor:

I already have a sponsor I will need a sponsor

Other Information

I am a former Lion:

Yes No

I am a member of another service organization:

Yes No

Other Information:

By submitting this application to the Hanover Lions Club, I hereby agree that all information submitted is correct and complete.

Should my application be accepted, I will also 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 offered to me by Lions Clubs International.

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