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Membership Application
 
Yearly Membership Dues

New Member $65

 Renewal $65

Please provide the following information for both New and Renew:

My Information:
First Name:  
Last Name:  
Street Address:  
City:  
State:  
Zip Code:  
Home Phone:  
Cell Phone:  
Work Phone:  
Fax:  
E-mail:  
Date of Birth:  
Employer:  
Title:  
Referred by:  
   
My Areas of Interest:  
  Leadership Development
  Volunteering
  Fundraising
  Participating in Sports or Physical Activity
  Personal Skills Development
  Professional Development
  Political Action
  Community Service
  Public Speaking
  Business Networking
  Social Networking
  Other 



OR

Print Now & Mail with a check:
 Membership fees are $65.00 per year.
Make checks payable to Salinas Jaycees.

Salinas Jaycees
P.O. Box 1048
Salinas, CA 93902

 

 
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