Lions MD201 Convention
2023 Registration Form
Event: 28th April to 1st May 2023

Early Bird

*$10 per person to secure your interest - Until 30 September, full registration starts from 1st October 2022.
Two prizes will been drawn for this Pre-registration event.

Club Name
Please type in your club name or select from the list, as you type...

Given Names (perferred) *
Last Name *

Partner Given Names
Partner Last Name

[Add more persons]
Contact Details
Postal Address - Building Street Name


Mobile Number *

Total Costs: