I am interested in learning more about joining this Kiwanis Club of Carmichael California

Carmichael, Carmichael, CA, United States

First Name*:

Last/Family Name*:

Mailing Address*:

Mailing Address 2:

City*:

State/Province:

Postal/ZIP Code:

Country*:

Telephone*:

Fax:

E-mail*:

Company Name:

Job Title:

Yes: No: I am a current member who is moving to a new community.

The above address is: home or business

How did you hear about Kiwanis International?

---Please Select One--- Benefited from Kiwanis service in the past Club activity in the community Current member transferring Family member is/was a member Former Circle K member Former Key Club member Former Kiwanis member Friend Internet/Web site Known about it for years Newspaper article Radio spot Word of mouth Work/Co-Worker Other

If this address is different from the one given above, please provide the:

Alternative Mailing Address:

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An electronic file containing the information you requested will be e-mailed to you, so make sure the e-mail address you provided above is valid and can receive e-mail from our domain (carmichaelkiwanis.com). You may also be contacted personally by a representative of our club to assist you.