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KIHC Membership Application/Update
For new, current, or renewing members of KIHC to provide updated information
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* Indicates required question
Full Name (Name of primary member if family or business)
*
Your answer
Email (email of primary member if family or business)
*
Your answer
Business name (if joining as business member)
Your answer
I want to be added to the KIHC newsletter list to keep on club events and news
*
Yes
No
Name
of 2nd family member (if family)
Your answer
Email
of 2nd family member (if family)
Your answer
Name
of 3rd family member (if family)
Your answer
Email
of 3rd family member (if family)
Your answer
Name
of 4th family member (if family)
Your answer
Email
of 4th family member (if family)
Your answer
Membership type
*
Individual ($25 per year)
Family ($40 per year)
Professional/Business ($50 per year)
Associate - Non voting: for people outside the region who are members of a different primary club ($25 per year)
Best contact phone number
*
Your answer
What state do you live in?
*
Your answer
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