HIONS (L) INTERNATIONAL MARSEILLES LIONS CLUB CHRISTMAS BASKET SIGN UP FORM The Marseilles Lions Club will provide Christmas baskets to local individuals and families who are in need. Each basket will include all the trimmings for a Christmas dinner and additional food products. Families with children will also receive toys (up to age 16). All persons requesting a Christmas Basket must have a Marseilles address. All names will be screened for proof of residency and need. Deadline for submitting names is Thursday, December 5th, 2024. Baskets will be delivered or picked up on Saturday, December 21, 2024 at the Lions Hall between 9:00 a.m. and Noon PLEASE PRINT CLEARLY Family Name: !Address: (Street number or rural address - No P.O. Box Numbers) Total in family. Adults Children Phone number: Email address: Children: Age Male or Female Age Male or Female i Age Male or Female Age Male or Female Age Male or Female Age Male or Female Pick up basket Have basket delivered C This form may be mailed or dropped off at the Marseilles Lions Club, 511 Commercial St., Marseilles, IL 61341. Club Phone: 815-795-2487 HIONS ( L ) INTERNATIONAL MARSEILLES LIONS CLUB CHRISTMAS BASKET SIGN UP FORM The Marseilles Lions Club will provide Christmas baskets to local individuals and families who are in need . Each basket will include all the trimmings for a Christmas dinner and additional food products . Families with children will also receive toys ( up to age 16 ) . All persons requesting a Christmas Basket must have a Marseilles address . All names will be screened for proof of residency and need . Deadline for submitting names is Thursday , December 5th , 2024 . Baskets will be delivered or picked up on Saturday , December 21 , 2024 at the Lions Hall between 9:00 a.m. and Noon PLEASE PRINT CLEARLY Family Name : ! Address : ( Street number or rural address - No P.O. Box Numbers ) Total in family . Adults Children Phone number : Email address : Children : Age Male or Female Age Male or Female i Age Male or Female Age Male or Female Age Male or Female Age Male or Female Pick up basket Have basket delivered C This form may be mailed or dropped off at the Marseilles Lions Club , 511 Commercial St. , Marseilles , IL 61341 . Club Phone : 815-795-2487