Links and Forms

(on this page)

*For new as well as established members
CLC Membership

also useful for CLC members-
Forms & Applications
membership application
expense forms
club shirt order form
PDF or WORD document

*Procurement Form for 2017 Scholarship Auction
*How to request donations

Lions Clubs
Local and International

Outside Services eyeglasses/hearing aids
Puget Sound Bloodworks

International Lions
Grants Available
multiple grants available
for individuals to clubs

Or go directly to
Lions International website
for forms

Lions International logo

Our current board

Lion Doug Kroon
Lion Sue Hartin
1st Vice President
Lion Brian Pulk
2nd Vice President
Lion Rick Walti
3rd Vice President
Lion Janet Burchfield
Lion Gary Youngs
Membership Director
Lion Sandy Johnson
Tail Twister
Lion Ginny Munn
Lion Tamer
Lion Duane Baumann
2nd Year Directors
Lion Harold Hertlein
Lion Dennis Bullock
1st Year Directors
Lion Dennis Egan
Lion Rob Johnson
Retention Director
Lion Marilyn Pulk
Immediate Past President
Lion Dave Fish
Program Chair
Lion Barb Vaughan

Find Coupeville Lions Club on Facebook

about our history

MD19-District H-Zone 7
Club #7928

contact us at
PO Box 473
Coupeville, WA 98239

Coupeville Lions Club Logo

Lions International Logo


for sponsoring this website since 2005



Lions Club International website -(a wealth of useful information)

MD19 Office
Lions District MD 19-H
main website
Lions Clubs District 19-H Zone 7 websiteCurrent newsletter

4141 W. Maplewood Avenue
Bellingham, WA 98226
(360) 733-4911

Clubs within MD 19-H:

Anacortes Lions Club meets at 6:30 PM on the second and fourth Thursdays of the month at San Juan Lanes located at 2821 Commercial Avenue in Anacortes, WA
Central Whidbey Lions Club meets at 12:00 PM on the first and third Thursdays of the month at the Tyee Restaurant located at 405 S. Main Street in Coupeville, WA    
Coupeville Lions Club meets at 6:00-8:00 PM on Wednesdays at the United Methodist Church located at 608 N. Main Street in Coupeville, WA (Note: During June through August the meeting schedule is reduced to the first and third Wednesdays of the month.)   
Lopez Island Lions
Club meets at 12:00 PM on the first Thursday of the month at the Bay Cafe located at 9 Old Post Road on Lopez Island, WA   
North Whidbey Lions Club meets at 12:00 PM on the second and fourth Wednesdays of the month at Bakerview Restaurant (CPO Club) located at 1080 W. Ault Field Road near Oak Harbor, WA   
Oak Harbor Lions Club meets at 7:00 PM on Wednesdays at the San Remo Grill located at 421 NE Midway Boulevard in Oak Harbor, WA   
Orcas Island Lions Club meets at 12:00 PM on Wednesday at the American Legion located at 793 Crescent Beach Drive in Eastsound, WA 
San Juan Lions Club meets at 11:45 AM on Tuesdays at the American Legion located at 110 First Street in Friday Harbor, WA     
South Whidbey Lions Club meets at 11:30 AM on the second and fourth Thursdays of the month at the M-BAR-C Ranch located at 5264 Shore Meadow Road near Freeland, WA 


Coupeville Lions General Membership Forms & Applications

International Lions Membership Brochure and Application new as of May 18, 2018
(For those wishing to obtain membership)

New (5-8-2018) Coupeville Lions Club Shirt Order Form

Coupeville Lions Club Members Expense Form

Financial Request Form
Consideration is given to such causes as: civic betterment projects/organizations, vision and hearing care, youth organizations, medical projects, senior citizens, school projects, Lions Club regional and international projects, and charitable organizations. In considering the requests for such causes, desirable characteristics include: -Capital projects rather than operations funds -Encouraging self-help by providing seed money or matching funds -Projects that will primarily benefit Whidbey Island by providing a wider range of services or by touching the lives of a greater number of Whidbey Islander -Emergency requests after other existing sources of help have been exhausted

Coupeville Lions Club Expense Form

Procurement Form - for those procurring items for the Scholarship Auction

How to request donations for 2017 Scholarship Auction

International Environmental Photography Form 2016

Program Evaluation
A brief overview of what process are required to run a committee. Two options to download and record your duties chairing an office or activity. Please forward once filled out,to the webmaster and she will post to the We Serve page.
PDF or WORD document

Orientation Manual 2017

Members Questionnaire- Interests and Hobbies beyond serving with the Lions
Here is the promised link to the Coupeville Lions Interest Survey. You should be able to follow the link and complete the survey in just a couple of minutes. 

The goal is to establish groups of persons with common hobby interests. Why? Quite frankly, people join organizations like ours for what they do in the community. However, they remain members due to social bonds they form with others in the organization.

We need to reduce the large number of our members we lose each year by creating more social connections that give them a strong reason to stay in our club. We can create subgroups of Lions within our club, free to pursue their skills and interests with Lions of similar interests. For example, woodworking, hiking, gardening, boating, classic autos, etc. In addition, new club members can quickly identify with existing members who have similar skills and interests. If you haven't filled one out and would like to see who has common interests. Please take this copy, fill it out and return to Lion Sandy Johnson at your convenience.

Outside Centers we work with

Northwest Lions Eyeglasses Recycling Center

SightFirst Grant Criteria/Application
How to Apply for a SightFirst Grant

Puget Sound Blood Center Help save lives, give blood


Variety of Grants Available

Coupeville Lions Club Community Service Program

Diabetes Grant Application

Emergency Grant Application

Habitat for Humanity Application Developing Nations

Habitat for Humanity Application U.S. and
Developed Nations

International Assistance How To & Grant Application

International Lions Quest Core 4 Grant

International Lions Quest Promotional Grant

Sight First Grant - How to and Application

Standard Grant - How to Criteria/Application



WHIDBEY TELECOM has sponsored this website since 2005

September 9, 2018 updated
The Coupeville Lions Club Foundation is a 501(c)3 organization