5545 Benchmark Lane
Sanford, FL 32773 
Tel. (407) 324-9800    Fax (407) 324-9900

  
 
 
Florida Kiwanis

Which Zone?          
   
   
Please, type first name as desired for name badge (i.e. Joe, Bob)
   
First Name         MI       Last Name

Kiwanis Club
   
Position in Club
     
Contact Information
   
Street City   Zip
   
Contact Phone      E-mail
   
TO REGISTER SPOUSE OR OTHER MEMBERS OF YOUR CLUB CONTINUE BELOW
   
Otherwise...            

 
IF YOU HAVE MORE MEMBERS ENTER THEM BELOW

When you are finished click the FINISH button at the bottom

        Please, type first name as desired for name badge (i.e. Joe or Bob)
 1.


  First Name   Last Name
   
 E-mail      Phone      
   
  Position    

 

   2.

 First Name    Last Name

 E-mail      Phone         
   
  Position    

   3.

 First Name   Last Name

 E-mail      Phone         
   
  Position    

   4.

        
  First Name Last Name
   
 E-mail      Phone        
   
  Position    
 

   5.

   
  First Name  Last Name
   
 E-mail      Phone    
   
  Position    
 

   6.


   First Name    Last Name
   
  E-mail      Phone
   
  Position