Membership Application: Step 1 of 2

Join Alexandria Jaycees

Membership is open to adults between the ages of 21 and 40; adults under 21 or over 40 may join as Associate Members. Please complete the form below and hit submit; on the subsequent page you will be directed to Paypal to submit your dues payment.

All fields are required unless stated otherwise.

Today's Date
First Name
Last Name
Address
City
State
ZIP
Phone
Email
Date of birth
(MM/DD/YY)*
* Birthdate is to confirm membership eligibility.
Please indicate what types of activities you would like to participate in: Community development projects

Individual development (i.e., professional skills, networking)

Socials

Fundraising/ Financial
Referred by:
(optional)

Employer
(optional)

On the following page you will be directed to Paypal to submit your dues payment.

Once your application is received, it will be reviewed by the Board of Directors for consideration.

Join Us

Membership Rates

Dues Rates
First-year membership: $80
Associate membership: $25

Mail-In Option
If you prefer to mail in your application and dues payment, complete our paper application and send with your check to Alexandria Jaycees, PO Box 1836, Alexandria, VA 22313.

Questions
Do you have questions about membership? Contact the Membership Vice President.