Lions In Sight of California and Nevada
Lions In Sight Membership Application
In order to contribute to improving the vision and lives of people around the world, please enroll me/our club in the Lions In Sight Foundation of MD-4.
Please select one of the following categories of membership:
• Club Membership (Membership contributions are based on multiplying club membership by $9.00/year for each member.)
# Club Members _______ X $9.00/member = _______
• Bud Jensen Fellowship (Individuals only – annual contribution of $50.00)
• Donn Owens Fellowship (Individuals only – one time contribution of $150.00)
• Don Work Fellowship (Individuals only – one time contribution of $250.00)
• Marilyn Green Life Membership (Individuals only – $500.00 one time contribution or annual contribution of at least $100.00 for five years)
• Wayne Cannon Patron of Sight Fellowship (Individuals only – $1000.00 one time contribution or annual contribution of at least $200.00 for five years)
Date_____________________________District_______________________________
Name_________________________________________________________________
Club Name_____________________________________________________________
Street Address_________________________________________________________
City, State, Zip _________________________________________________________
Phone, FAX or Email ____________________________________________________
LIS would be delighted to be gifted with:
Bequests
Charitable Remainder Trusts
Charitable Gift Annuity
Charitable Lead Trusts
Outright Gifts
Life Insurance
Retained Life Estate
For more information contact the LIS office
Bequests
Charitable Remainder Trusts
Charitable Gift Annuity
Charitable Lead Trusts
Outright Gifts
Life Insurance
Retained Life Estate
For more information contact the LIS office