Clear Lake Lions
Become a Member
Calendar Of Events
Individual Request Form
Organization Request Form
Individual Funds Request
Please follow the steps below to request funds for an individual
Fill out this form as much as possible.
button on the bottom of this page.
After reviewing your request, we may contact you to attend one of our meetings and present your request to our club.
* Requests received after the Friday before the Tuesday meeting may not make it on the agenda but could make the next month's agenda.
For whom are you requesting assistance?
Reason For Request
Why are you requesting assistance?
How much are you requesting?
Yes, We are asking others
No, we are not asking others
Are you requesting assistance form other organizations?
The name of the person making the request
Contact Phone Number
Please enter the phone number of the person to contact regarding this request.
The email address of the person making the request.
Submit my Request
Organizations We Support
Allina Health Wellness Van
Becker Food Shelf
Clearwater Food Shelf
Clear Lake Lions Club
Lions Club - District, International
Lions Club International
Copyright 2013 | P.O. Box 127 Clear Lake MN 55319 | (320) 743-8001 | email@example.com