PART A - Personal InformationName* First Middle Last NicknamePlease list my name asFirst name/Middle initialFirst initial/Middle nameSpouse/Partner Name First Middle Last Spouse NicknameAddress* Street Address City State / Province / Region ZIP / Postal Code Email* Home PhoneCell PhoneLandings Club #Landings Club membership is not required to be a member of Kiwanis Club of Skidaway. Provide your account # if you wish to be able to charge your breakfast meeting food and beverages to it.Resident in Savannah sinceI am aFull Year ResidentPart Year ResidentMoved from (City/State)Work statusFull timePart timeRetiredPrior Kiwanis Membership (Club, City, State)Interests/Expertise (Special disciplines, talents, significant hobbies, areas of interest to help our club)PART B—Personal Information (Optional)How did you find out about our club?Date of Birth/BirthdayEducational BackgroundMemberships/Professional AffiliationsAnything else you’d like to ask or share?PART DNew Member Applicant—I apply to become a member of Kiwanis Club of Skidaway.I have completed New Member Orientation and have an understanding of what it means to be a Kiwanian.I will complete New Member Orientation as soon as possible. I will support the club’s service and fundraising activities and will work with my sponsor and club leadership to identify areas where I can get involved.PART C — Club Membership Financial ObligationOur club’s fiscal year runs October 1–September 30. Dues for a new member are pro-rated, based on the month the member joins, as shown in the table below. Renewals will be billed, and a full year’s dues will be payable by September 30. There is also a family membership plan. The first family member to join pays full dues; additional family members (living in the same household) pay a reduced rate. Dues are payable to Kiwanis Club of Skidaway. They include all dues assessments for Kiwanis International, Georgia Kiwanis and our club.Membership Type*Individual MembershipSpouse/Partner MembershipIndividual Price Price: $125.00 Spouse/Partner Price: $225.00 Total $0.00 PhoneThis field is for validation purposes and should be left unchanged.