Become A Member
Lions District 5M7
How to Request Assistance
Organization Request Form
Individual Request Form
Organization Funds Request
Please follow these steps to request funds for an individual
Fill out this form as much as possible.
button on the bottom of this page.
An email will be sent to you and to the Clear Lake Lions recapping your request.
All 501(c)(3) & 501(c)(4) organizations must submit an IRS tax status determination letter, or have one on file with the Clear Lake Lions.
Who will be presenting at the meeting
Name and address of organization that request is being made on behalf of
Phone Number *
Please complete the following list of questions.
Number of People *
Clear Lake People *
Palmer people *
Amount Requested *
Are you asking other clubs or organizations for assistance also
Request Reason *
Previous Financial Assistance
The following information needs to be provided to the Clear Lake Lions President (CEO) before a check can be issued.
Contact Name *
Contact Phone *
Contact Email *
Name or Organization Check should be made out to
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