APPLICATION TO JOIN THE KENT COUNTY JAYCEES The KENT COUNTY (RI) JAYCEES Membership Application * JanFebMar AprMayJun JulAugSep OctNovDec 12345678910111213141516171819202122232425262728293031 First Name: * Last Name: * DOB: * JanFebMar AprMayJun JulAugSep OctNovDec 12345678910111213141516171819202122232425262728293031 Street Address: * City: State: Zip: * Home Phone: * Cell Phone: * Email Address: * Referred By: * Do you have any friends or family who you think would be interested in joining the Kent County (RI) JAYCEES? * Yes No Do you know of anybody who share our vision of improving the community. If you know anyone like this, please feel free to fill out the referral below and we will be happy to provide them with further information. Their name: Yes No Name: Address: Phone: Name: Address: Phone: Do you understand that The cost of becoming a member is $50.00 * Yes No Do you understand there is a yearly renewal fee of : $ 40.00 * Yes No Do you understand that Prizes are given for Membership(s) Affiliation * Yes No If application submitted on-line, check or money order must be mailed to: Kent County (RI) JAYCEES Membership * P.O. Box 348, W. Warwick , RI 02893 Date check will be mailed JanFebMar AprMayJun JulAugSep OctNovDec 12345678910111213141516171819202122232425262728293031 | 2nd ANNUAL CCC | |HOME| |EXPLORE OUR SITE| |JAY-TEENS| |RI JCI SENATE| |JCI UNIVERSITY| |IN MEMORY OF| |JOIN OUR SPONSORS| |ABOUT US| |APPLICATION TO JOIN| |ARBORETUM| |BOY SCOUTS| |CONTACT US| |CREED EXPLAINED| |CRIME PREVENTION | |EARTH DAY 2008 PHOTOS| |EDUCATION & LIBRARY| |FAQ| |FREE MEMBERSHIP| |HUMANITARIAN SERVICE| |JAYCEE CULTURE| |LAND CONSERVATION | |LITERACY VOLUNTEERS| |MEMBER SURVEY| |NPLD| |PERSONAL DEVELOPMENT| |PERSONAL GROWTH | |RAE CONFERENCE| |TOY FOR TOTS PHOTOS| | TWINNING AGREEMENT| |VOLUNTER CENTER RI| |VOLUNTEER MATCH| |YOUR BOARD OF DIRECTORS| |Get Out the Vote|