Lifetime Memberships

Support Our Efforts Through Life Membership

For Individual Lions

A $125 Life Membership donation will provide personal recognition (pin, patch, plaque) of your devotion to our cause of educating and informing our youth on the perils and dangers of drug use.
Be proud of your drug awareness efforts and wear your DAC Life Membership patch with pride for a one-time donation of $125.
Be a leader in the enlightenment of our youth out of the darkness of illicit drug use. Reflect your leadership with a Life Membership in our Drug Awareness Council. Let the light shine on you.

Progressive Life Memberships

Progressive Life Membership Levels are $100 for each level in addition to the initial $125 Life Membership.

Bronze $100
Silver $100
Gold $100
Platinum $100
Diamond $100

Levels can be purchased in this order or all for $625.

For Lions Club Awards & Honors

Publicly recognize your star Lions with the honor and award of Life Membership status with the district’s Drug Awareness Council.
Reflect positively on your Club by using the prestigious DAC Life Membership Award to honor your best under the bright aura of drug education and information for our youth.
Demonstrate your Club’s commitment to drug education and awareness for our children by conferring DAC Life Membership awards on your most worthy members. By honoring them in this manner, you further the overall commitment and focus we Lions have on protecting our youth from dangerous drug encounters.

Life Member Application

Important Instructions

After you submit this form, you will receive an email that you need to print and sign, then mail, along with your donation (check or money order), to the address in the email.

"*" indicates required fields

1Donor's Information

2Recipient Information

3Donation Information

Donor's Information

This is the information of the person or organization that is applying for the membership.

Is This Donation from an Individual or Organization?*

Individual

Organization

Donor Home Lions Club or Organization*

Donor's Name*

First Last

Donor's Email*

Donor's Phone*

Address*

Street Address City State ZIP Code

Recipient Information:

This information relates to the person who will receive the membership. If the donor is also the recipient, we will use the information provided above.

Is the Donor Also the Recipient?*

Yes

No

Recipient's Name*

The person's name that will receive this membership.

First Last

Recipient's Email*

Recipient's Phone*

Recipient's Address*

Street Address City State ZIP Code

Please List Any Qualifications, Achievements, Club Activities, etc.*

This will allow the DAC an opportunity to know a little about the applicant.