District 133 Convention 2019 Registration
Please complete all sections

Please note that in completing this form, you are agreeing that the information supplied can be shared with the convention attendees and the accommodation providers and the it will be held solely in connection with this Convention.

Please complete this form as your first step.

Surname
Your answer
First name
Your answer
Home address
Your answer
Telephone
Your answer
E-mail address
Your answer
Or you attending alone?
If not please state your Partner's Name:
Your answer
Which Lions club are you a member of?
Your answer
Are you an official club delegate to the convention?
Is this the first Annual convention you have attended?
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