Membership Form

MEMBERSHIP APPLICATION

Please complete the form below to apply for membership or renew your current membership.

If you prefer to mail the application and payment you may print it here.

Printable Application

YOUR INFORMATION

First Name

Last Name

Address

City

State

Zip

Phone

Occupation

Spouse's Name (optional)

Are you currently a member of SCI National?

Yes

If yes, please provide your SCI membership number. If no, please enter NA

Where did you hear about us?

Comments

MEMBERSHIP OPTIONS

All members of the Kansas City Chapter must also be members of SCI International. The annual membership fee for SCI is $65.00. The annual chapter fee is $20. There are multi-year options as well.

Select your membrship

1-Year Membership - KC Chapter and SCI International - $85.00

3-Year Membership - KC Chapter and SCI International - $210.00

Senior Lifetime Membership - KC Chapter and SCI International - $1500

Lifetime Membership - KC Chapter and SCI International - $1750

1-year Membership (new or renewal)- KC Chapter only (I am already a member of SCI) - $20.00

3-year Membership (new or renewal) - KC Chapter only (I am already a member of SCI) - $60.00

Lifetime Membership (new or renewal) - KC Chapter only (I am already a member of SCI) - $250.00