Jaycees Membership Questionnaire
Thank you for your interest in joining the Ann Arbor Jaycees! Please fill out this questionnaire and a member of our Membership team will get back to you shortly.
Email address *
Name: *
Email Address: *
Phone Number: *
(###)###-####
Mailing Address: *
How did you hear about the Jaycees? *
Birthday *
Used to ensure you are between 21 and 40
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/
DD
/
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What are you looking for from our organization? *
Required
Many of our social activities have a food component. To best welcome you in membership, please list any food allergies, intolerances or preferences here:
Anything else we should know about you to help you get the most out of your Jaycees experience ? *
Which topics or causes are you most passionate about?
What is your method of payment? *
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