Information Request Form

Visitors are invited to request membership information


Send Ground Mail To:

Kiwanis Club of Statesboro
Information Request
P. O. Box 472
Statesboro, GA 30459


Please complete the following form if your would like to receive membership information about the
Statesboro Kiwanis Club and Kiwanis International. At the end of the form, please indicate how you
would like the information sent (Electronic Mail, U.S. Mail, or a call from a member).

  First Name:    
  

  Middle Name:   
  

  Last Name:     
  

  Address 1:      
  

  Address 2:      
  

  City:          
  

  State:         
  

  Zip/Postal:    
  

  Country:       
  

  Daytime Phone: 
  

  Evening Phone: 
  

  Fax Phone:     
  

  Email Address: 
  

  How would you like us to provide you information? 

  Surface Mail   

  Telephone      

  Email          


  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:

     


Your questions or input and comments on how to enhance our web site efforts will be welcome and appreciated.

Page last updated on January 1, 2008
Copyright © January 2008 Kiwanis Club of Statesboro. All Rights Reserved.