Membership Form / Contact Us

We're interested in hearing from you.

BECOME A MEMBER NOW BY FILLING OUT THE FORM BELOW!

Full name:
Nick name:
Email address:
Phone- Home/Cell:
Home Address 1:
Apt, Unit, Suite ?:
City:
State:
Zip code:
Company? (if applicable):
Whats your age group?
Gender
Fax No.
Bus. Phone
Mail S/B sent to home?
Mail S/B sent to work?
If send to work -HOW?
Spouse or Partner name:
I accept this application for membership & agree to conform to the bylaws of this club & comply w/ obligations of membership as explained to me by my sponsor.
Please check if you been Past Kiwanian info? and fillout the following
Was club name:
Date left club:
Length membership was:
Life member? Member #?

Do you have comments or questions on our organization? An announcement or posting for our Bulletin Board? Please get in touch by e-mailing us!
Just click this address mailto:kiwanisPSJ@yahoo.com

kiwanisPSJ@yahoo.com

Or you can reach us at our mailing address: ?????????

Our Name
Our Street Address

Become a Member!

Thank you.

Disclaimer Statement:

Neither Pueblo de San Jose Kiwanis Club or members of the Board of Directors make any representations as to the accuracy of information submitted for publication herein or published herein. This information is maintained by volunteers. These listings are provided as a Member service and are intended for their informational non-commercial purposes only. Pueblo de San Jose Kiwanis Club reserves the right to add, remove or edit postings at its discretion. The listing of an item does not represent any formal or informal solicitation or endorsement by Pueblo de San Jose Kiwanis Club on behalf of the individuals or organization referenced herein unless explicitly stated.