Hilo Jaycee's Membership Application
Name:(First)_________________________________(MI)_______Last)_______________________________
Mailing Address:________________________________________________
Phone#: (_____) - _____ - _______ DOB:_____|_____|______(Must be 21 years or older to join)
Email:______________________________________________________________
Sign:_______________________________________ Date:_____-_______-______
Community, Leadership, Networking
Mail application to Attn: Membership VP P.O. Box 1475 Hilo, HI 96721Become a Member Now till the end of the year.
