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Fort Collins Eyeopeners Kiwanis Club Membership Form
Approval form for membership to the Fort Collins Eyeopeners Kiwanis Club
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Email
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Your email
Full Name
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Your answer
Nickname
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Gender
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Male
Female
Address
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Your answer
City
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Your answer
State
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Your answer
Zip/Postal Code
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Date of Birth
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Your answer
If you are a former Kiwanian, what was your club name?
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If you are a former Kiwanian: What date did you leave your past club?
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Date this form has been submitted
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Please type your name below to act as an electronic signature. I accept this application for membership and agree to conform to the bylaws of this club and comply with the obligations of membership as explained to me by my sponsor.
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A copy of your responses will be emailed to the address you provided.
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