Member Access Request Form
* Required Field
*

Your
name:
*

Email:
*

Club:
*

Status:
Member
Club Officer
District Committee
District Officer
Other
INSTRUCTIONS FOR USE
Use this form to request a User Name and
password for the members only section of
our website.

This website is intended for the use of the
Lions of District 11-B1. If you are not a
Lion of this district and have justification
for access to the information contained
herein you may request special
consideration in the "comments" section of
this form. You will be contacted by an
officer of District 11-B1 to discuss your
request.