Membership Application (1) "*" indicates required fields Personal InformationToday's Date MM slash DD slash YYYY Current Date Name* First Middle Last Preferred First Name Birthdate (MM/DD/YYYY): GenderMaleFemaleAddress* Street Address City State Zip Code Resident in Savannah since (MM/YY) Full/Part time Resident? Full Year Resident Part Year Resident Moved from (City/State) Email* Preferred Phone Number?* Cell Home Cell PhoneHome PhoneLandings Club # Landings Club membership is not required to be a member of Kiwanis Club of Skidaway. Provide your account number if you wish to charge your coffee to it.Educational BackgroundProfession Work status Full time Part time Retired Memberships/Professional AffiliationsPrior Kiwanis Membership (Club, City, State) How did you find out about our club?Reason for Joining Kiwanis:Special disciplines, talents, significant hobbies, areas of interest to help our club:Anything else you'd like to share (person facts, hobbies, interests):Consent and SignApply to become New Member I apply to become a member of Kiwanis Club of Skidaway 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 Appy to become New Member* Yes I am applying to become a member of Kiwanis Club of SkidawayNew Member Orientation* Yes I will complete New Member Orientation as soon as possibleOrientation for new members are held periodically. The Membership Team will coordinate these with you.Support the Club* Yes I will support the Club's activitiesI 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.Signature By typing your full name here, you agree to become a member of Kiwanis Club of SkidawayNew Member Sponsor Enter the Name of your Sponsor for Kiwanis Club of Skidaway. The sponsor’s responsibility will be to work with you for a minimum of 6 months to ensure you become fully integrated into our club’s activities. If you don’t have a sponsor, we will be happy to identify one for you. 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 include all dues assessments for Kiwanis International, Georgia Kiwanis and our club. Dues for 2023-2024 Month Joined Member Spouse/Partner October-December $150.00 $120.00 January-March $125.00 $100.00 April-June $100.00 $75.00 July-September $75.00 $50.00 Payment InformationMembership Type?* Individual Membership Spouse/Partner Membership Spouse/Partner Name* First Middle Last Individual Price Price: Spouse/Partner Price Price: Cover Processing Fees? Yes I want to make an additional donation to cover online processing fees, so that my entire membership payment goes to Kiwanis Club of Skidaway.Fees for Individual Membership Price: $0.00 Fees for Spouse/Partner Membership Price: $0.00 Total Credit Card NameThis field is for validation purposes and should be left unchanged.