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Gainesville Jaycees Membership Application
Please complete all required areas of the form.
* Indicates required question
First Name:
*
Your answer
Last Name:
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
T-shirt Size:
*
S
M
L
XL
XXL
XXXL
Other:
Spouse Name (if applicable):
Your answer
Home Address:
*
Your answer
Cell Phone:
*
Your answer
Email Address:
*
Your answer
Employer:
*
Your answer
Position:
*
Your answer
Primary Type of Business:
*
Your answer
Work Address:
*
Your answer
Work Phone:
*
Your answer
Preferred Mailing Address:
*
Home
Work
How do you wish to be contacted with information concerning club functions or other club activities:
*
eMail
Mail
Phone
Who is responsible for paying your dues:
*
Self
Employer
Where should we send your quarterly dues invoices?
*
Your answer
Do you live or work in Hall County?
*
Yes
No
Are you registered to vote?
*
Yes
No
How were you first introduced to the Gainesville Jaycees?
*
Your answer
Please rank your preferred projects (1 being your most preferred)
*
Mule Camp Market
Charity Ball
Empty Stocking Fund
Gut Check Program
Golf Tournament
Work Projects
1st
2nd
3rd
4th
5th
6th
Mule Camp Market
Charity Ball
Empty Stocking Fund
Gut Check Program
Golf Tournament
Work Projects
1st
2nd
3rd
4th
5th
6th
Thank you for your response!
Our membership team will reach out to you if we have any questions.
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