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Sandra Moody

Membership Director

The Exchange Club is a service club that believes in helping others. Members of the Exchange Club believe in Unity for Service. Together, we can and do make a difference every day.

The Exchange Club also provides a regular opportunity for fellowship with community leaders. Because there are Exchange Clubs almost everywhere in the USA, you are part of a larger effort in communities all across America.

NEW MEMBER ENROLLMENT

Add new members online at www.nationalexchangeclub.org

Exchange Club of

State

Club #

Club Officer's Signature

Title

Date

MM slash DD slash YYYY

From club #

Transfer

New Member

Reinstatement

Change of Classification

Transfer

Classification

Active

Active Honorary

At-Large

Honorary

Excel

Collegiate

Business

Associate

Exchange Club members shall be granted all the rights and privileges of membership and agree to adhere to all club rules, regulations and policies. (Please Print)

Name(Required)

First Μ.Ι. Last

Untitled

Male

Female

Nickname

Last

Spouse

First Μ.Ι. Last

Primary Phone

Date

MM slash DD slash YYYY

Address

Address City State Zip

Email(Required)

Profession

Business Name

Sponsor

Sponsor's Club

Member's Signature

hCaptcha(Required)

Contact information:

Click to Contact Tim White or use [email protected]
Click to Contact Karen Stepper or use [email protected]
Click to Contact Judy Lloyd or use [email protected]