Are you ready to belong?

Have you been looking to do some volunteering for good causes in your community? Do you like helping kids, having fun and feeling like you made a difference? Why not consider joining us and become a member of our Kiwanis club?

Membership Application

If you are ready to belong to our worldwide internet service club, please complete this form along with payment of the annual dues ($120US).

"*" indicates required fields

Prefix*

Legal Name*

First Last

Preferred Name (nickname)

Preferred Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Please check all that apply

New Kiwanis member

Former Kiwanis member

Current Kiwanis member

Transferring Kiwanis member

Honorary Kiwanis member

Corporate Kiwanis member

Service Leadership Program ALumnus

Why do you wish to join?

To help kids

Community involvement

Business networking

To make friends

Leadership skills

Sponsor Name

First Last

Spouse/Partner Name

First Last

Birth Date

MM slash DD slash YYYY

Date joining club

MM slash DD slash YYYY

Agreement*

By completing this application for membership, I agree to conform to the bylaws of this club and comply with the obligations of membership as explained to me by my sponsor. In the United States, US$8 of a member's annual dues and fees is applied to a Kiwanis magazine subscription. Additional membership dues and fees will be charged.

Product Name*

Total

Credit Card

Card Details

Cardholder Name

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