LION INVITATION LETTER REQUEST–2017 CHICAGO CONVENTION
If you require a visa to enter the United States and need a letter of invitation, please complete the following
information and send it to the Convention Division:
Mail:
Lions Clubs International - Convention Division
300 W. 22ND Street
Oak Brook, IL 60523 USA
Email:
[email protected]
Fax:
+1 630-571-1689
1. * Name: _________________________________________________________________________
2. * District and Country:
_______________________________________
3. Passport Number (optional):
________________________________________
4. * Lions Club Name:
________________________________________
5. * Membership Number:
________________________________________
6. *E Mail Address:
_______________________________________________________
(example: MD 60 - Guyana)
(*REQUIRED - Please write clear; you may not receive your letter if the email address is not legible.)
If your SPOUSE OR AN ADULT COMPANION is traveling with you and you want to include their name
on your invitation letter, please complete:
7. Name:
__________________________________________________________
Spouse ______
Adult Companion ______
If your CHILD or CHILDREN are traveling with you and you want to include their name on your invitation
letter, please complete:
8. Name:
__________________________________________________________
Child (female) ______
9. Name:
Child (male) _________
__________________________________________________________
Child (female) ______
(*) = MANDATORY FIELD
Child (male) _________
INVITATION LETTER REQUEST FORM
Rev. 07/2016