Join Our Club

We’d like to have you as a mem­ber of our Eye of the Tiger eKi­wa­nis Club. It is an oppor­tu­ni­ty to meet vir­tu­al­ly with oth­er Kiwa­ni­ans all keen­ly inter­est­ed in grow­ing our orga­ni­za­tion and fur­ther­ing the mis­sion of Kiwa­nis: To Serve the Chil­dren of the World.

Please com­plete this appli­ca­tion form and sub­mit your ini­tial dues pay­ment. We know that you won’t be sorry.

Join the Club

Fill out the attached form and start mak­ing an impact on chil­dren’s lives!

Full Name *

First

Last

Nick­name

Date of birth

Spouse/Partner name

Home Address *

Address Line 1

City

State / Province / Region

Postal Code

CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCoun­try

Pre­ferred Phone *

Email *

Com­pa­ny Name (Option­al)

Title (Option­al)

Are you a for­mer Kiwan­ian? *

• Yes
• No

Are you a for­mer Key Club or CKI mem­ber? *

• Yes
• No

Name of For­mer Kiwa­nis Club

By pro­vid­ing my email address, I rec­og­nize that I am opt­ing in to receiv­ing reg­u­lar com­mu­ni­ca­tion from Kiwa­nis International.

• Yes, please send me peri­od­ic Kiwa­nis e‑mail messages.

Today’s Date *

New Member Membership Fee

Thank you for com­plet­ing our New Mem­ber Appli­ca­tion Form. In order to sub­mit your mem­ber­ship fee, please first indi­cate the month that you will be join­ing it.

Month in which I wish to join:

• Octo­ber
• Feb­ru­ary
• June
• Novem­ber
• March
• July
• Decem­ber
• April
• August
• Jan­u­ary
• May
• Sep­tem­ber

Octo­ber Join Month

Price: $125.00

Novem­ber Join Month

Price: $94.00

Decem­ber Join Month

Price: $85.00

Jan­u­ary Join Month

Price: $77.00

Feb­ru­ary Join Month

Price: $68.00

March Join Month

Price: $60.00

April Join Month

Price: $51.00

May Join Month

Price: $43.00

June Join Month

Price: $34.00

July Join Month

Price: $26.00

August Join Month

Price: $142.00

This dues amount includes your mem­ber­ship fee ($125) for the fol­low­ing year.

Sep­tem­ber Join Month

Price: $134.00

This dues amount includes your mem­ber­ship fee ($125) for the fol­low­ing year.

Total

$0.00

Submit