Name: * 

Membership Dues Amount: * 

In effort to be more inclusive we would like to give members the opportunity to elect their dues amount. The suggested amount will be $50. Dues cover our Civic Center contract, social events, and our Diversity, Equality and Inclusion initiative.

Birth Month: * 

This will be used to toast members during their birth month.


Please let us know about any accommodations you need to help you fully participate in meetings and events (e.g., language, electronic agenda).

Preferred Pronouns: * 


On behalf of the Future of JWC Committee and the focus on Diversity, Equity, and Inclusion, the following questions are being asked in an effort to better understand the demographics of our members.

**Please note that this information will only be used internally.**

What is your age? * 

How would you describe yourself? * 

What is the highest degree or level of school you have completed? * 

Marital Status: * 

Household Income: * 

What is your current employment status? * 

To which sexual orientation do you most identify? * 

SKU: DUES21 Category:
Sorry no more offers available

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