Kiwanis Membership Application
Schenectady Kiwanis Club
Name:
*
First Name
Last Name
Committees of interest:
*
Please Select
Outreach & Service
Membership
Fundraising
Communications
Financial Review
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Occupation
*
What you're doing currently.
Other important information about me:
Annual dues
Annual dues are $180. This includes your membership in Kiwanis international and its benefits and in Schenectady Kiwanis Club. Our Kiwanis year begins on October 1st. Members joining later in the year will have their dues prorated to the month of joining.
Save by joining or renewing by 9/30!
If received by 9/30, your dues are discounted to $160. If you are a new member and your dues are received by 9/30, your dues are discounted to $80!!!
I agree to pay annual dues. We will contact you with where to send a check after receiving your application.
*
Yes
No
I intend to attend and participate in meetings and activities to make a positive difference to the club and community.
Please Select
Yes
No
Submit
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