Kiwanis Club Membership Information Request Form

Please complete the following form if your would like to receive membership information about our Kiwanis Club and Kiwanis International. At the end of the form, please indicate how you would like the information sent (Electronic Mail,U.S. Mail, or a call from a member).

First Name:       
Middle Name:   
Last Name:     
Address1:      
Address2:      
City           
State          
Zip/Postal     
Country:       
Daytime Phone: 
Evening Phone: 
Fax Phone:     
Email Address: 

How would you like us to provide you information?
Surface Mail    
Telephone       
Email           

Are you interested in joining a Kiwanis Club? 
   YES
   NO 
Are you a member of another community service club?
   YES 
   NO 
If YES, indicate club name?  
Enter Comments Below:

Club Home Page / Kiwanis International Home Page

You're input and comments on how to enhance our web site efforts are welcomed and appreciated. E-mail comments to:
RBernardC@AOL.com or TheKITE@AOL.com

Form last updated by Bernard Coley(BernardC@ix.netcom.com) on 01/14/96 3:50 PM (PST).
RFS updated links on 01-15-96 3:05 PM PST.

© Copyright 1995 Kiwanis Club of Palo Alto, CA.