KiwanisOne Member Resources

123 You Hold the Key Program Form

Please complete one entry per new member. Recruiters are eligible
for their key and entry in the contest once entry form, membership information form, and fees are processed. Entry form must be received by June 1.
* Required field

Recruiter Information:
Club Name: *
Club Key #: *
District:
Name: *
Member ID #: *
Email:
Address: *
City: *
State/Province: *
Postal Code:
Country: *
New-member Information:
Name: *
Member ID #:	(if available)
Club Name: *
Club Key #: *
Entry form must be received by June 1
Submitted by: *
Submitter's E-mail: *

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