Group Registration Registration Request Form

Lions International Convention Group Registration Request Form

Tour Operators, Travel Agencies & Lions Group Organizers
Primary Contact Name*

First NameLast Name
Phone Number*

Country CodePhone Number
Email Address*
example@example.com
What is your role?*

I am a Group Organizer (A Lion making arrangements for a group of 10+)I am a Tour Operator or Travel Agency organizing a group of 10+

Group Name*
Tour Operator/Agency Name*
District or Multiple District Information
Tour Operator/Agency Information
District or Multiple District Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Tour Operator/Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
District or Multiple District Number*
Language*
Please attach your letter of authorization from the District or Multiple District.*

Required to process your application.
Cancelof
Download the Tour Operator Approval Letter if you have not done so already.
Approximate Number of Registrations:
Adults*
Children
Legal Procedures

Please read the Tour/Group Procedures.
By submitting this form, you agree to the following:*

I have read and understand the Tour Operator and Group Procedures and agree to abide by them.I agree that the above information is accurate.
Should be Empty:

Lions International Convention Group Registration Request Form