Individual Fund Request

Please follow these steps to request funds for an individual

  • Fill out this form as much as possible.
  • Click the SUBMIT button on the bottom of this page.
  • An email will be sent to you and to the Clear Lake Lions recapping your request.

Tell us about who is in need of assistance
Name *
Address *
Budget *
Amount Requested *
Reason *

Who will be presenting at the meeting
Presenter *
Phone Number

Are you asking other clubs or organizations for assistance also

Tell us about who you are
Name *
Email *
 
Who should we contact with our decision
Name *
Phone *
Email *

 

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