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[front-end-pm]
Become a Member
What influenced your decision to join the Exchange Club?
Americanism
Community Service
Youth Programs
Child Abuse Prevention
Social Activities
Professional Development
Business Networking
Please check all that apply:
Please indicate which committees or programs you would like to become involved with:
Monthly luncheon programs
Child Abuse Prevention
A.C.E. Scholarship Awards
Give-A-Kid-A-Flag-To-Wave
Field of Honor®
Book of Golden Deeds
Member Retention/Expansion
Tailgate Parties (Member Recruiting)
Public Relations (Newsletters, Website, Facebook, New Releases)
Please select a membership dues option:
$175 per quarter, includes lunch
$85 per quarter, plus $15 for lunch
Spouse/Family Member: $30 per quarter, plus $15 for lunch
Please select a membership classification:
(Required)
Active – Individual (Joining Fee $20)
Active – Business (Joining Fee $50)
Family (Joining Fee $20)
Name
(Required)
Cell Phone Number
(Required)
Email
(Required)
Address
City
State
Zip
Occupation
Employer
Birthday
Spouse Name
Member Sponsor
Club Officer Title
Verification
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