Lions Fellowships and Memberships Order Form - Lions Foundation of Canada Dog Guides

If you’re interested in ordering a Membership or Fellowship to recognize a Lion who consistently provides excellent service to Lions and their community, please use this online form below.

Delivery time is 4-6 weeks from the date the order is received.

Make cheques payable to: Lions Foundation of Canada Dog Guides. Please mail your payment to:

152 Wilson St., Oakville, ON L6K 0G6

Please Enter Information Exactly How It Is To Appear

Select the type of fellowship or membership: *

Quantity *

Name of recipient as it will appear *

Language for Fellowship or Membership *

English
French

Presented by (as it will appear) *

Presentation date (if known)

Lions Club District (if applicable)

Contact Person

Full name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone Number *

Comments

Payment Information

Total

$0.00

Method of payment

Credit card
Cheque
Other

Credit Card

Card

Name on Card

Comments

For Cheques: Make cheques payable to: Lions Foundation of Canada Dog Guides. Please send your payment to: Lions Foundation of Canada Dog Guides Att: Fellowships and Memberships. 152 Wilson St., Oakville, L6K 0G6