Humboldt Area Jaycees
    Humboldt, Nebraska
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Join the Humboldt Area Jaycees

Name
Address
City
State ZIP

Home Phone
Work Phone

Fax
E-mail Address

Date of Birth

I am interested in the following:
Social Issues
Environmental Issues
Personal Development
Community Involvement
Meeting New People
Governmental Affairs
Social Security Reform
Medicare Reform
Professional Development
Family & Youth Activities
Sporting Activities
Business Networking
International Affairs
Other:

Dues for your Jaycee membership are not tax deductible as a charitable contribution.

Print & Mail This Form With A Check For $40.00 To:
THE HUMBOLDT AREA JAYCEES ©
PO Box 202 • Humboldt, NE 68376 •




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Website Developed and Maintained by Eldon Russell