Registration Progress
Contact Info
Meals
Payment
Multiple District 35 Lions Convention
April 30 - May 2, 2021
Orlando, FL
Contact Information
 
 
Please complete a separate registration form for each person in your group. A red asterisk (
*
) indicates a required field that must be completed. Payment in full is required when you submit your registration.
*
Last Name:
 
*
First Name:
 
 
Nickname:
 
 
Title:
 
*
Club Name:
 
*
Address (Line 1):
 
(Line 2):
 
*
City:
 
State:
 
 
Zip/Postcode:
 
 
Country:
 
Telephone#-Home:
 
 
Fax#-Bus:
 
 
*
Email:
 
Registration Type:
BADGE-ONLY-REGISTRATION
GUEST-REGISTRATION
LEO-REGISTRATION
MEMBER-REGISTRATION
VENDOR-REGISTRATION
 
 
District:
Select One
District L
District I
District O
District N
 
 
First Timer?:
Select
Yes
No
Is this your first multiple district convention?
Special Needs: