KWA - LIFE MEMBERSHIP APPLICATION FORM FOR FAMILY REGISTRATION You are encouraged to attend our meetings and participate in our programs. Donations are gratefully accepted. Volunteers welcome. Be a part of our community. Full Name Please leave this field empty. Date of Birth Gender—Please choose an option—MaleFemale Email Home Phone Mobile Phone Residential Address Membership Application—Please choose an option—New Membership ApplicationMembership Renewal Family Registrations include children under 16 years old. If Family, Please specify other Members: Membership annuel fee will be $206 (Life family member fee $200 + paypal service fee ) Δ
