Ambassador Enrollment

We are excited to have you join a progressive group of Lion leaders who are moving Lions Clubs forward. Completion of this form will secure your place as a Second Century Ambassador. Enter your information below or download an enrollment form.

Enrollment Details

Shipping Information

Payor Information

For your convenience, there are 3 ways for you to pay:

I hereby acknowledge that my payment under the Second Century Ambassador program is intended as contribution for the future of Lions Clubs International. Therefore, I accept and agree that any payment made to become a Second Century Ambassador is non-refundable and non-transferable to any individual not provided in the Enrollment Details.

Second Century Ambassador Program Details

The Ambassador details provided are being submitted with the full understanding that the Ambassador is a current member of a Lions club in an Active Status.

A US$500 donation will be made in to LCIF in the Ambassador’s name. No goods or services will be exchanged as a result of this gift. The remaining portion of payment for the Second Century Ambassador program is not a donation and cannot be used for tax purposes.