SPRING CITY LIONS CLUB MEMBER APPLICATION

Thank you for your interest in becoming a Spring City Lions Club member. Lions Clubs International is a network of individual clubs united in helping others locally and around the world.

Please complete the information provided below in an email back to: jimbrm70@gmail.com

Please mail your $25.00 one-time initiation fee and your $75.00 yearly dues to: Spring City Lions Club P.O. Box 684 Spring City, TN 37381-0684.

For Family Membership info please contact Jim Reed at (423) 365-6561.

First Name: ___________________________________________________

Last Name: ___________________________________________________

Birth Year: ___________________________________________________

Mailing Address: _______________________________________________

City: ________________________________________________________

State: _______________________________________________________

Zip Code: ____________________________________________________

Phone: ______________________________________________________

E-mail Address: _______________________________________________

Sponsors Name: _______________________________________________

Thank you,

Jim Reed
President, Spring City Lions Club