Lions Of Illinois Foundations

Donation Information

Are you affiliated with a Lions Club?

Yes

No

Select Club Affiliation

Make a Donation

Place an Order

Make a Payment

Special Event

Select Endowment

Foundation Fellow

Sustaining Supporter

Birdies

Tree of Service

Tribute

Select Amount

$500.00

Other Amount

All Foundation Fellows can be run through Birdies

Birdies Guess

Amount

$

Name of Recipient

Select Amount

$25.00

Other Amount

Amount

$

Name of Recipient

Select Amount

$25.00

Other Amount

Birdies Guess

Amount

$

Select Amount

$1,000.00

Other Amount

All Tree of Service donations can be run through Birdies

Birdies Guess

Select

Leaf

Rock

Amount

$

Amount

$

Would you like to add a message

Would you like to notify the family or individual of the gift

Camp Lions

Mobile Screening Units

Reconditioned Hearing Aids

Low Vision For Students

Diabetes Awareness

Select Camp

Adopt a Camper

Camper Deposit

Camp Wish List

Select Amount

$525.00

Other Amount

Select Amount

$15.00

Other Amount

Amount

$

Select Amount

$290.00

Other Amount

Amount

$

Select Amount

$25.00

$50.00

$100.00

Other Amount

Amount

$

Select Amount

$250.00

$500.00

Other Amount

Client Name

Amount

$

Additional Comment

Select

Hearing Screening Unit

Retinal Screening Unit

Amount

$

Reason

Amount

$

Select Annual Golf Classic Type

1 Golfer $85

Team of 4 $340

Sponsor

Other Amount

Golfer Name

Golfer Name1

Golfer Name2

Golfer Name3

Golfer Name4

Amount

$

Select Candy Day

Wintergreen ($95.00/case)

Cases

Amount

$

Aprons ($13.00 each)

Cases

Amount

$

Trays ($7.00 each)

Cases

Amount

$

Select Candy Day

Tootsie Pops ($62.00/case)

Aprons ($13.00 each)

Cases

Amount

$

Quantity

Amount

$

Will you be picking up your order?

Yes

No

Pickup Date

Ship To

Please Note : There will be an additional charge for shipping. Our office will contact you with that amount.

Invoice Number

Amount

$

Special Event

Amount

$

First Name

Last Name

Company Name

Address

City

State

Zip

Email

Phone

Fax

Feedback

Choose Payment Method

Credit Card

Electronic Check

Card #

Expiration

Bank Name

Account Type

Routing Number

Account Number

Cancel

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