Page 10 - Lions Link 6-18

Scholar's Registration Form
Join the PRIDE of Lions who have attended!
Saturday, June 9, 2018 Sign-in/Breakfast - 7:30 am to 8:55 am University/Lunch/Reception - 9:00 am to 3:00 pm
Collin College Spring Creek Campus - Conference Center
2800 East Spring Creek Parkway, Plano, TX 75074
* Register BY EMAIL, print & complete this form. Scan it and email it to Lion Fred Conger. Pay via PayPal.
* Or register BY MAIL, complete this form and mail with registration fee check to the address shown below. * CLUB SECRETARIES: Please mail one form per registrant. Include your club check or registrant checks.
Name: .......................................................... .................................................................... (Please Print) (First Name) (Last Name)
Address: .................................................................................................................................................TX .................................... Street City ZIP Code
Phone: (............)............................ email: .....................................................................@................................................................
Your Lions Club’s Name: .............................................................................
http://www.lions2x1university.org/
Fee: $30.00 if paid by June 2, 2018
$35.00 at the door!
Mail or email Registration Form & Fee to:
Current Office Held ........................................
GLT Fred Conger, 513 Oakcrest Dr, Coppell, TX 75019-4029
Cell: 214-274-4490 Home: 972-462-1590 email: fred.conger@verizon.net
Fee includes: Course Materials, Breakfast, Lunch, Reception and Certificate (Must be picked up at LU closing)
Make Checks payable to:
DISTRICT 2-X1
Fee Paid by (select method):
May 30, 2013
Cash $_________ Check # _______
Used PayPal? Y (circle)
SELECT THE APPROPRIATE BOX􏰀 I am a/an: 􏰁 Incoming President
􏰁 Incoming Vice President
􏰁 Incoming Secretary 􏰁Incoming Treasurer
􏰁 Incoming Tail Twister 􏰁Incoming Service Chair 􏰁Incoming Membership Chair
FBC 04/18/2018
􏰁 Incoming Marketing Communication Chair 􏰁 Incoming LCIF Chair
􏰁 Incoming Board Member
􏰁Incoming Project Chair
􏰁 New Lions Club Member 􏰁Interested in being a District Governor 􏰁Just want to know more about Lions
Form SRF
VOLUME 28 ISSUE 12 / JUNE 2018
PAGE 9