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MEMBERSHIP APPLICATION

Kiwanis Membership Application
Home Address
City
State/Province
Zip/Postal
Business Address
City
State/Province
Zip/Postal
Send Kiwanis mail to:
Primary Employment *
Job Classification *
Education Attained *
For membership statistics only. Kiwanis International does not provide its membership information to third parties.
I accept this 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.
Please have your Sponsor fill out the New Member Sponsor Form
DOWNLOAD New Member Sponsor Form PDF

or fill out the form below.

NEW MEMBER SPONSOR FORM

New Membership Sponsor
To the Board of Directors of the Kiwanis Club of Safety Harbor,
I take pride in proposing
as an active member of the club and have confidence that this individual will become a valuable member.