Registration Form
Registration Fee:
₱ 3,800.00
/person
Membership Information
Group
-- Choose LEO / LION --
LION
LEO
District
Region
Zone
Club
Past District Governor
Polo Shirt (size)
-- Choose Shirt size --
Small
Medium
Large
Extra Large
2XL
3XL
Personal Information
Firstname
Middlename
Lastname
Birthdate
PH +63
Email Address
Address Information
(Optional)
Province
City/Municipality
Barangay
Street Address
Additional Members
NOTE: For members without club and polo shirt will be considered as the same details with the main registrant.
Member Information
Firstname
Middlename
Lastname
Club
Polo Shirt (size)
-- Choose Shirt size --
Small
Medium
Large
Extra Large
2XL
3XL
Add member
Proceed to Payment
