Name *
Name

MD4 Lions Youth Exchange General Chairman, Dr. Jun Valera @

lionjunvaleramd4yep@icloud.com

lifesaver58@gmail.com

650-754-1531


Please make checks out to:  MD-4 YEP and send to:


Terri Komatsu, Treasurer
13598 Silver Stirrup Dr.
Corona, CA. 92883

Put student’s name on check and country wishing to visit.