Membership Application — Rondout Valley Lions Club

Membership Application

To become a member of the Rondout Valley Lions Club, please complete the membership application. This application helps us understand your interests and how you can contribute to our mission of community service. By filling it out, you enable us to better connect you with volunteer opportunities and club activities that match your passions and skills.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Mobile Phone

(###)

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Home Phone

(if applicable)

(###)

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Work Phone

(if applicable)

(###)

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Occupation

Spouse/Partner

(if applicable)

Sponsor Name

(if applicable)

Application Fee Acknowledgment

$30 due when new member initatied

Accept

Yearly Membership Fee Acknowledgment

$72 due June of each year

Accept