Ready to join?  Fill out the information below and then all you have to do is bring your membership dues to an event or meeting.  Or if you would like, mail them to:

Gaithersburg/Germantown Jaycees
Attn: Membership Vice President, New Member
PO Box 2516
Germantown, MD 20875-2516

Note: A Jaycee sponsor is just if you have heard of the Jaycees from a Jaycee member.  If so, please put their name down.  Thanks!

Your Name

Email Address

Address

Address

City

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Zip Code

Phone Number

Birthday (must be 21 - 40 years old)

Jaycee Sponsor

How did you hear of the Jaycees?

What are your interests?

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