Online Leo Club Officers and Membership Report
 

For fiscal year beginning July 1, use this form to report the name; mailing address; telephone and fax number; and e-mail address for your newly elected club officers to Lions Clubs International Headquarters by May 15. All communications directed to the club officers throughout the year will be based on the information provided in this form. If the form is not returned, your club will not receive the information and material it needs, and your new club president and the Leo club advisor will not be listed in the annual online directory.

This electronic form will be sent to the Lions Clubs International Office. It is your responsibility to print and send this information to the District Leo club chairman and to your sponsoring Lions club.

* Indicates required fields.

*Leo Club Name:
*Total number of members:
*Sponsoring Lions
Club Name:
* Please provide a current membership list in the box below:
*Each Leo club must declare itself as an Alpha Leo Club (12 years of age to the legal age of majority) or an Omega Leo Club (legal age of majority to age 28). Please select one of the following:
ALPHA
OMEGA
*Lions District Number:
*Lions Club Six Digit Identification Number:
 
Leo Club Advisor (60)
*First Name:
Middle Initial:
*Last Name:
*Street Address or P.O. Box Number:
*City:
*State or Province:
*Country:
*Postal Code:
*Telephone Number:
Fax Number:
E-mail:
 
Leo Club President (61)
*First Name:
Middle Initial:
*Last Name:
*Street Address or P.O. Box Number:
*City:
*State or Province:
*Country:
*Postal Code:
*Telephone Number:
Fax Number:
E-mail:
 
Leo Club Secretary
First Name:
Middle Initial:
Last Name:
Street Address or P.O. Box Number:
City:
State or Province:
Country:
Postal Code:
Telephone Number:
Fax Number:
E-mail:

 

Before you submit this form, click here to print out this information.