Membership Application

Download the application for membership here.

The completed application can be submitted via:

Bloomington-Normal Jaycees
P.O. Box 42
Bloomington, IL 61701

Scanned and emailed:  
[email protected]

Delivered to a B-N Jaycees member:  
We meet every 2nd Wendesday of the month at 7 p.m. at Community Health Care Clinic on Franklin Ave in Normal.

*The yearly membership due of $70 is due at the time the application is submitted.  Payments can be made in person by cash or check, or you can pay via PayPal here.

You are donating to : Greennature Foundation

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$10 $20 $30
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Additional Note