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 $160. This includes your membership in Kiwanis international and its benefits and in Schenectady Kiwanis Club.
I agree to pay annual dues of $160, which will be prorated to the month of joining.
*
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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