Group 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?

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
By submitting this form, you agree to the following:
Should be Empty:

Lions International Convention Group Registration Request Form