Small Font Medium Font Large Font
Lions Clubs International Lions Clubs Online Radio We Serve

Latin America New Club Development Workshops


View New Club Development Consultants
Print New Club Development Request Form

To request a new club development workshop, please complete a request form (pdf) or complete the below form:

* Required
*Month to hold training:
*Workshop location:
*Prospective Community #1:
*Type of club to form:
*Proximity to the workshop location: km/miles
Prospective Community #2:
Type of club to form:
Proximity to the workshop location: km/miles
*Estimated number of participants:
Requested Consultant**:
** I understand that it is not guaranteed that he or she will be able to facilitate the workshop
Additional comments on the workshop, prospective communities and/or recruiting methods:

Club Organizer

*Lion Title:
*Phone Number:
*Cell/Mobile Number:
If you have a P.O. Box, please provide a street mailing address that LCI can ship materials by courier to
*Shipping Address:
Zip/Postal Code:

District Governor Information

If your district governor does not have an email address, please enter in the district secretary's email
*District Governor Name:
*District Governor Email:

Submitted By:

Use club organizer information above? Yes   No
If you are a district governor, check here
*Lions Title:

Please Enter This Security Code Below:  
You must enter code to Submit this form ->

© Lions Clubs International
300 W. 22nd Street, Oak Brook, IL 60523-8842

Custom web development, hosting and implementation provided by Alkon Consulting