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Below is a cache of http://www.mariettakiwanis.org/pdf/application.pdf. It's a snapshot of the page taken as our search engine crawled the Web.
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. Membership Application Membership Application Kiwanis Club of Marietta Sponsor Key No. 01912 Endorser 1ST QUARTERS DUES & INDUCTION FEE MUST BE SUBMITTED WITH APPLICATION = $287.00 Contact Information M F Title First Middle Last Gender Social Security Number Home Address City Zip Home Phone Firm or Company Name Your Title Business Address City Zip Business Phone Ext. Email Address Other Email Address Fax Number Would you like mail sent to home or office? HO OF Additional Phone Number: Enter Codes in boxes at left Primary Employment Title Education Attained Primary Employment Codes Codes Codes 01. Banking/Finance 17. Medical N. Elected A. Grade School 03. Communications 19. Non-profit O. Management B. High School Title of your position 05. Construction 21. Real Estate P. Partner/Owner C. Tech./Business School 07. Education 23. Religion Q. Professional D. Associates Degree (2 yrs.) 09. Government 25. Retail R. Sales E. Baccalaureate Degree (4 yrs.) Education Attained 11. Legal 27. Transportation S. Supervision F. Masters Degree 13. Manufacturing (heavy) 29. Wholesale T. Technical G. Graduate Professional Degree SCHOOL:__________________________ 15. Manufacturing (Light) 94. Other X. Other Grad. Date:________________________ Fill this out if you are a former Kiwanian Name of former club: Date you left: Month Day Year Length of Membership: Are you a life member? Yes No Who was your Kiwanis sponsor?: Life Member # Personal Information How long have you lived in the community?: Hobbies? What is your date of Birth? Anniversary Month Day Year Month Day Year Spouse's Date of Birth? Spouse's Name Month Day Year First names and ages of children: Community Involvement Membership in business and professional organizations: Would you prefer that your first committee assignment in the club be related to: Club administration (Club meetings, Programs, Membership Growth, Club Bulletin, etc.)
Community Service (Services to Children, Youth and Adults, Community Concerns, etc.) What do you see as the most important need(s) of this community now? Joined: (m/d/y) Board: (m/d/y) Signature of Applicant: Inducted: (m/d/y)
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. Membership Application Membership Application Kiwanis Club of Marietta Sponsor Key No. 01912 Endorser 1ST QUARTERS DUES & INDUCTION FEE MUST BE SUBMITTED WITH APPLICATION = $287.00 Contact Information M F Title First Middle Last Gender Social Security Number Home Address City Zip Home Phone Firm or Company Name Your Title Business Address City Zip Business Phone Ext. Email Address Other Email Address Fax Number Would you like mail sent to home or office? HO OF Additional Phone Number: Enter Codes in boxes at left Primary Employment Title Education Attained Primary Employment Codes Codes Codes 01. Banking/Finance 17. Medical N. Elected A. Grade School 03. Communications 19. Non-profit O. Management B. High School Title of your position 05. Construction 21. Real Estate P. Partner/Owner C. Tech./Business School 07. Education 23. Religion Q. Professional D. Associates Degree (2 yrs.) 09. Government 25. Retail R. Sales E. Baccalaureate Degree (4 yrs.) Education Attained 11. Legal 27. Transportation S. Supervision F. Masters Degree 13. Manufacturing (heavy) 29. Wholesale T. Technical G. Graduate Professional Degree SCHOOL:__________________________ 15. Manufacturing (Light) 94. Other X. Other Grad. Date:________________________ Fill this out if you are a former Kiwanian Name of former club: Date you left: Month Day Year Length of Membership: Are you a life member? Yes No Who was your Kiwanis sponsor?: Life Member # Personal Information How long have you lived in the community?: Hobbies? What is your date of Birth? Anniversary Month Day Year Month Day Year Spouse's Date of Birth? Spouse's Name Month Day Year First names and ages of children: Community Involvement Membership in business and professional organizations: Would you prefer that your first committee assignment in the club be related to: Club administration (Club meetings, Programs, Membership Growth, Club Bulletin, etc.)
Community Service (Services to Children, Youth and Adults, Community Concerns, etc.) What do you see as the most important need(s) of this community now? Joined: (m/d/y) Board: (m/d/y) Signature of Applicant: Inducted: (m/d/y)
