Membership Form

Member Sponsor Name:
Member ID:
Name of applicant:
Email
example@example.com
Committee Preference
Are you a former Kiwanian?
Are you a former K-Kids, Builders Club, Key Club or CKI member?
If yes, Club name(s)
In the U.S. $8 of a member's annual dues and fees are applied ot the official publications of Kiwanis International.

I accept the application for membership and agree to conform to the bylaws of this club and comply with the obligations of membership as explained to me by my sponsor.
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Applicant Signature
Date (month/year)

MonthDayYear
Date
Should be Empty: