Kiwanis Club Information Request Form

Kiwanis Club of Thomasville, GA.
P.O. Box 316
Thomasville, GA. 31799

Please complete the following form if you would like to receive membership information from the Kiwanis Club of Thomasville and Kiwanis International.  Send it to Tchastsn@rose.net  (File, Send to) or mail it to the above address.  At the end of the form, indicate how you would like to receive the information (EMail, U.S. Mail, or Telephone).

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 contact you?



Email		



U. S. Mail	



Telephone	  
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:




 

 

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