PART A - Personal InformationName* First Middle Last Nickname Please list my name as First name/Middle initial First initial/Middle name Spouse/Partner Name First Middle Last Spouse Nickname Address* 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 since I am a Full Year Resident Part Year Resident Moved from (City/State) Work status Full time Part time Retired Prior 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/Birthday Educational Background Memberships/Professional Affiliations Anything else you’d like to ask or share? PART CNew 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 D— Club Membership Financial ObligationOur club’s fiscal year runs October 1–September 30. Dues for a new member are $150 for a full year and pro-rated, based on the month the member joins, 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 of $120 for a full year. Dues are payable to Kiwanis Club of Skidaway. They include all dues assessments for Kiwanis International, Georgia Kiwanis and our club.Membership Type* Individual Membership Spouse/Partner Membership Individual Price Price: Spouse/Partner Price: Total $0.00 NameThis field is for validation purposes and should be left unchanged.