LIONS CAMP DORSET CORPORATION

HONOURARY LIFE DIRECTORSHIP APPLICATION

 

In 1984 the Board of Directors initiated the Honourary Life Directorship Program as a means of providing an ongoing source of funds for Camp Dorset. A constant cash flow is needed for general funding to enable the Camp to provide the highest possible service and facilities to its patients.  Any individual member of a Lion, Lioness, Leo Club or any other person or group can become an Honourary Life Director of Camp Dorset Corporation by contributing the sum of $100.00 to Lions Camp Dorset Corporation.  Lions/Lioness Clubs that achieve and maintain a 100% participation in the Directorship Program will receive a certificate and plaque acknowledging this status.

Date                                                                   

 

Name                                                                 

                          (Print Full Name to Appear on Certificate)

 

Address:                                                                   Phone:                                                   

 

                                                                                 Fax:                                                       

 

                                                                                 E-Mail:                                                 

 

Affiliation:   Lions Club_________________________________     District_________                                                   

                      Lioness Club_______________________________

                      Leo Club__________________________________

                      Other_____________________________________

                                                                                

 

Mailing address if other than recipient:

 

Address:                                                                   Phone:                                                   

 

                                                                                 Fax:                                                       

 

                                                                                 E-Mail:                                                 

 

 

Application and payment should be given to the Chairlion of the Lion, Lioness or Leo Club in your District or mailed directly to:

 

Lions Camp Dorset Corporation, P.O. Box 306, Dorset, Ontario, P0A 1E0, Attention:  Herb Taylor.

Email:  lcdht@vianet.on.ca

www.lionscampdorset.on.ca