Membership Information Request / Contact Form
Kiwanis Club of Peterborough
Please complete the following form if you would like to receive membership information about our Kiwanis Club and Kiwanis International, or would like related information. At the end of the form, please indicate how you would like the information sent (electronic mail, US mail, or a call from a member).
Sections indicated by an asterisk [*] are required fields.
| *Name | |
| Title | |
| *Company | |
| *Street Address | |
| Street Address | |
| *Town | |
| * State | |
| *Zip/Postal | |
| Country | |
| *Daytime Phone | |
| Evening Phone | |
| Fax Phone | |
| *Email Address |
How would you like us to provide you with information?
Surface Mail
TelephoneAre you interested in joining a Kiwanis Club?
YES
NOAre you a member of another community service club?
YES
NOIf YES, indicate club name
Enter Comments Below:
Your interest, input, and comments on how to enhance our web site efforts
are welcomed and appreciated.
Back to Home Page
