Kiwanis Club of Bessemer

We are so glad that you are joining our historic club. Being a part of something you can help shape it as it grows. Bring your creativity and passion to this new club and it will have a tremendous impact on those served by it. This page allows you to pay the $150 new member fee securely online using PayPal. Note: This covers dues until the next Kiwanis Year- Oct. 1.

Kiwanis Club of Bessemer Application

Kiwanis Club of Bessemer*
- Bessemer
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP / Postal Code Country
Phone*
Email*
Date of Birth mm/dd/yyyy*
I have been a member of:
- Key Club (High School)
- Circle K International (College)
- Neither
Note: Former CKI or Key Club members joining their first Kiwanis Club receive discounted dues for the first 2- years.
Previous Kiwanis Club Members
- No
- Yes
- Current Member/ Dual Membership
- Current Member/ Requesting Transfer to this Club
Who Sponsored You Into Kiwanis?
Occupation
Total*
- Charter Member Dues – $150
- Former CKI or Key Club Member Charter Member Dues – $75
To be paid with PayPal on the next Screen Kiwanis Dues are assessed each October 1. This fee covers dues until that point.

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ALABAMA DISTRICT OF KIWANIS INTERNATIONAL
District Secretary Tammy Driskill (256) 504-9773

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