The undersigned Lions Club or Lion in good standing does hereby submit the name of for a W.P Woods Fellowship.
The following is a summary of nominee's contribution to the principles of Lionism:
Select file to attach for additional nomination information (optional):
Indiana Lions Foundation is qualified under 501(C)(3) of the Internal Revenue Service code as a public charitable trust.
Click here if using W.P Woods credits or cash on account
W.P Woods Fellowship Plate with Stand:
($500 or 10 credits)
Cash amount towards plaque: $
Individual Name:
Address:
City:
State:
Zip:
Phone:
Name of Spouse:
Date Desired to Present Fellowship:
July 6 2022
Click here if the recipient is a Lion
Click here if this is for Progressive