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Road Sign Form
Lions International has designed a fresh, new road sign — and to celebrate, we’re giving away some 18-inch signs for free! Clubs that are in need of a replacement or don’t yet have one are encouraged to apply. Availability is limited, and applications will be reviewed and fulfilled on a first-verified, first-served basis.
What best describes your request?
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Replace an existing road sign (I currently have one installed)
Request a new road sign (I do not have one installed)
Why does your current sign need to be replaced? Describe the condition, age, visibility issues or branding inconsistencies.
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Please upload a clear photo showing the current sign and its condition.
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Photo of existing/outdated road sign
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Contact Information
Your name
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First name
Last name
Your email address
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example@example.com
Your role in the club
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Club President
Club Marketing Chairperson
Club Secretary
Other
Your club name
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Your club number
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Your district number
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Shipping Information
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ALAND IS FINLAND
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ANGUILLA
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BERMUDA
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CANADA
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COOK ISLANDS
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ECUADOR
EL SALVADOR
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FIJI ISLANDS
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ICELAND
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INDONESIA
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MICRONESIA
MONGOLIA
MONTSERRAT BWI
MOROCCO
MOZAMBIQUE
NAMIBIA
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
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NIGERIA
NORFOLK ISLAND
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NORWAY
PAKISTAN
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PANAMA
PAPUA NEW GUINEA
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PERU
PHILIPPINES
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PORTUGAL
PRIN OF MONACO
PRINCIPAT D'ANDORRA
REP OF BANGLADESH
REP OF CAMEROON
REP OF CONGO
REP OF GEORGIA
REP OF GHANA
REP OF GUINEA
REP OF GUINEA BISSAU
REP OF IVORY COAST
REP OF KYRGYZSTAN
REP OF LATVIA
REP OF MOLDOVA
REP OF SAN MARINO
REP OF SOUTH AFRICA
REP OF SOUTH SUDAN
REP OF SRI LANKA
REP OF TAJIKISTAN
REP OF THE SUDAN
REP OF THE UNION OF MYANMAR
REP TRINIDAD-TOBAGO
REPUBLIC OF AZERBAIJAN
REPUBLIC OF BENIN
REPUBLIC OF BURUNDI
REPUBLIC OF CHAD
REPUBLIC OF DJIBOUTI
REPUBLIC OF GAMBIA
REPUBLIC OF IRAQ
REPUBLIC OF IRELAND
REPUBLIC OF KOREA
REPUBLIC OF KOSOVO
REPUBLIC OF LIBERIA
REPUBLIC OF MALI
REPUBLIC OF MONTENEGRO
REPUBLIC OF NIGER
REPUBLIC OF NORTH MACEDONIA
REPUBLIC OF RWANDA
REPUBLIC OF SENEGAL
REPUBLIC OF TÜRKIYE
REPUBLIQUE DE MADAGASCAR
REUNION
ROMANIA
RUSSIAN FEDERATION
SAINT BARTHELEMY
SAMOA
SÃO TOMÉ AND PRÍNCIPE
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SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MRTN NETH ANTIL
SLOVAK REPUBLIC
SLOVENIA
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SPAIN
ST CHRISTOPHER NEVIS
ST LUCIA WEST INDIES
ST PIERRE & MIQ
ST VINCENT
ST. MARTIN
STATE OF PALESTINE
STATE OF VATICAN CITY
SURINAME
SWEDEN
SWITZERLAND
TAHITI
TANZANIA
THAILAND
TIMOR LESTE
TOGO
TUNISIA
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED STATES
URUGUAY
VANUATU
VENEZUELA
WALES
ZAMBIA
ZIMBABWE
Tax Identification Number/VAT/Customs Number
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Ship to Email
example@example.com
Ship to Phone
Acknowledgment & Agreement
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I acknowledge that I will obtain any necessary community approvals to replace or install the road sign, replace the existing Lions club road sign if it is outdated, install the new sign within a reasonable timeframe following delivery, provide a photo after installation, grant Lions International permission to use submitted photo(s) for promotional purposes, and submit only one request on behalf of my club.
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