Thank you for considering joining the Humboldt Jaycees.

Membership dues of $100.00 entitle you a 12 month membership and can be paid by cash or cheque.

Membership Requirements are as follows:

• Submit the form below, or mail us an application form providing us with your name, address, phone numbers
• Pay membership dues
• Attend a membership meeting to be sworn in

Please note: Acrobat Reader is required to view PDF Files. If you do not have Acrobat Reader you may download it by clicking on image to the left. (A new browser window will open with instructions for downloading)

You may download and print our application form, by clicking here (PDF), or you may complete and submit the form below for processing.

Membership Application Form:

Application Type:	Please Choose...New Member ApplicationUpdate Current InformationCurrent Member RenewalCurrent Member Transfer
PERSONAL INFORMATION:
Sex:	Please Choose...MaleFemale
Date of Birth:
First Name:
Last Name:
Mailing Address:
City/Town:
Province:
Postal Code:
Home Phone Number:
Home Fax Number:
E-Mail Address:
BUSINESS INFORMATION:
Company Name:
Your Title:
Mailing Address:
City/Town:
Province:
Postal Code:
Company Phone Number:
Company Fax Number:
E-Mail Address:
Company Description:
PAYMENT INFORMATION:
Select Payment Method:	Company ChequePersonal ChequeCash
Any Additional Comments:

If you have any questions about becoming a member, feel free to contact us anytime. We will be happy to assist you!