Club Membership Application

Your Personal Information

Your Name

First Last

How would you like you name listed on your Name Badge?(Required)

Name Badge First Name Name Badge Last Name

Is there a Kiwanis Member we can thank for inviting you?

Sponsor First Name Sponsor Last Name

Your Email Address(Required)

Your Mobile Phone(Required)

T-Shirt Size(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Date of Birth(Required)

Name of company where you work(Required)

Kiwanis Experience(Required)

Select only 1 and complete additional information if requested.

Former Kiwanis Member

Current Kiwanis Member Transferring to NPB Club

Former Kiwanis Service Leadership Program ("SLP") Member (e.g., Key Club, CKI Club)

New to Kiwanis

Former Club Membership

Name of Former Kiwanis Club(Required)

Former District (state/country if district unknown)(Required)

Current Club Membership

Current Kiwanis Club(Required)

Current District (state/country if district unknown)(Required)

Former Kiwanis SLP Member (K-Kids, Builders Club, Key Club, or CKI)

Full Club Name (ex: Key Club of Central High School)(Required)

District (or state/country if district not known)(Required)

When were you a member (ex: 2020-2024):(Required)

Membership

Our Kiwanis Club has two kinds of membership. Please indicate which type you would like to apply for. New members are billed for their initiation year and then renew their membership by the next September 15th. Note that former members of a Kiwanis Service Leadership Program (SLP) are exempt from dues, but not meals, for two years when they first join Kiwanis; the meal cost is $100 annually due Sept 15th each year.

Membership Types and Fees(Required)

Regardless of which month you join, the next dues payment is due annually on September 15th. Initiation dues include: National - ; State; Local - ; plus initiation costs. Local dues are prorated based on which month you join.

Individual Member: $275 includes initiation costs, national, state, and local payments. It is $250 upon 9/15 renewal.

Former SLP Member: $100 waives the national, state, and local dues; includes meals plus initiation costs. Reduced dues are good for 2 yrs.

Corporate Member: $400 annually all inclusive. Attendance is interchangable at each meeting and sponsorship discounts are granted.

Email

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Kids Need Kiwanis

Kiwanis NPB Membership Form

Your Personal Information

Former Club Membership

Current Club Membership

Former Kiwanis SLP Member (K-Kids, Builders Club, Key Club, or CKI)

Membership

Upcoming events

Kiwanis NPB General Meeting

Kiwanis NPB General Meeting

Kiwanis NPB General Meeting

Kiwanis NPB General Meeting

Kiwanis NPB General Meeting