Awards & Recognitions

Lions Quest Canada Champion of Youth Award - $1,000

This award features a high-quality, framed photographic art 

print that captures the theme of “Brighter Futures”. It is a 

timeless and visually striking recognition that will include an 

insert with both the donor and recipient names.

Lions Quest Canada Fellowship Award - $500.00

This award was established in 2003 to recognize Lions Club 

members and other deserving individuals who truly care about 

Canadian children. This vase is crafted from high-quality glass 

and has a personalized base to honour the recipient. A unique 

lapel pin is also provided.

Lions Quest Canada Stewardship Award - $300.00

The recipient of this award will receive a beautiful lapel pin as 

a wearable token of recognition, along with a professionally 

designed certificate.

Lions Quest Canada Q-Bear Fan Club Membership - $100.00

As a Fan Club Member, the recipient will receive this 

heartwarming certificate along with a Q-Bear lapel pin that 

can be worn as a wearable token of recognition. This 

membership can be renewed annually for a reduced donation 

of $80.00.

All individual donations are eligible for a charitable tax receipt

Order Online – www.lionsquest.ca 

or Call 800-265-2680

or send donation & request to:

Lions Quest Canada

PO Box 2947, Stn. Main

St. Mary’s, ON N4X 1A6

Lions Quest Canada

Awards Application

Lions Quest Canada Award

( ) Champion of Youth Award - $1,000

( ) Fellowship Award - $500

( ) Stewardship Award - $300

( ) Q-Bear Fan Club Membership - $100

Donor

( ) Individual ( ) Lions Club

Name: ___________________________________

Address: _________________________________

________________________________________

City:________________ Prov.____ P/C ________

Lions District (if applicable): ____________________

Recipient

Check here if the recipient is to be named later ( )

Name: ___________________________________

(exactly as name should appear on award – max. 22 characters)

Is the recipient a Lion? ( ) yes ( ) no

Is the recipient deceased? ( ) yes ( ) no

If recipient is deceased, please print the name of the individual to 

whom the award is to be presented.

Name: ___________________________________

Special Instructions

Please note the date if the Award is being presented 

in conjunction with a special event.

________________________________________

________________________________________

________________________________________

________________________________________

Payment

( ) Cheque payable to Lions Quest Canada

( ) Use funds previously donated for an unnamed 

recipient (not prior to the previous fiscal year)

Credit Card: ( ) Visa ( ) MasterCard

(or call with information)

Card Number: ____________________________

3-digit security code: _______________________

Expiry Date: ______________________________

In the amount of $ _________________________

Cardholder Name:______________________________

Signature of cardholder: ____________________

Shipping Instructions

(Please allow up to 4-6 weeks for delivery)

Name: __________________________________

Address:_________________________________

City:________________ Prov.____ P/C ________

Phone: __________________________________

Email: ___________________________________

PO Box 2947, Stn. Main

St. Mary’s, ON N4X 1A6

800-265-2680

www.lionsquest.ca