Membership Interest Form

JCI South Kent Interest form

Fill in the form below. Must be between ages of 21 and 40.
Name *

First Name Last Name
E-mail
Birthday

Month Day Year
Date
We are currently running a membership drive. If you join within 7 days of filling out this form, you will receive a $25 gift card to Target or Starbucks. To sweeten the pot even more, your membership dues will be reimbursed by the chapter. We will be in touch!
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JCI South Kent Interest form