Membership Application To complete your application online, please fill out the fields below and click the submit button. Fields with a red * are required. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First Name *Last Name *Street Address *City *State *Zip Code *Email *Phone *Birth Date (MM/DD) *As an active member in the Chapter, I would like to VOLUNTEER in the following areas:Board memberNewsletterFood preparation for eventsParty/event hostAssist members in needDrivers for eventsCommittee memberHost visiting membersAccountingEvent organizingWeb siteSocial Event coordinatorCheck your interests below. Use the "Suggestions" line to add specific interests not listed: *MusicDine-outShoppingTravelingMoviesSportsCraftsLunchAntiquing/flea marketsShip cruisesStageShowsNature walksHobbiesPotlucksBoard gamesBoatingMusicalsHealth topicsHome ImprovementsPicnicsCard gamesPhotographyMuseumsGym WorkoutsGardeningHappy hoursCookingBook groupsBeach daysAquarium visitSuggestionsCheck the items you agree with: *I AGREE you can use my full name in Chapter correspondence, i.e., John Smith ORPlease refer to me using my first name and only the first initial of my last name, i.e., John S.DO NOT share my membership informationDO NOT use my photograph in any Chapter correspondence or website.Palmetto Prime of Charleston is a noncommercial and nonpartisan organization open to all gay and bisexual men who subscribe to our purposes of socialization and fellowship in a safe and respectful environment. Charleston's Palmetto Prime does not tolerate discrimination based on race, color, religion/spiritual beliefs, national origin, or disability. Any member who speaks or acts in a manner contrary to this policy may have his membership revoked. Submission of this application affirms your agreement to these policies. Signature *Date * Layout following Address Dues: Yearly dues are $20. Once you have submitted your application, you can then pay your dues: In person at an upcoming event via check or cash. Send your check made out to “Palmetto Prime” to the contact information in the next section below. Please do not send cash through the mail. Use ZELLE through most banks and send your dues to primetimerscharleston@yahoo.com. NOTE: YOU WILL NOT BE INCLUDED ON THE MEMBER/EMAIL LIST UNTIL WE RECIEVE YOUR DUES. _____I HAVE SENT MY DUES VIA ZELLE ON ____/_____/20____. _____I HAVE MAILED MY DUES VIA SNAIL MAIL ON ____/____/20____. Contact Information: Email: primetimerscharleston@yahoo.com USPS: Palmetto Prime, PO Box 80842, Charleston, SC 29416 Website: https://chapters.theprimetimersww.com/charlestonsc/ *Palmetto Prime is a local chapter of Prime Timers® Worldwide, Inc. (PTWW) Please Note: If you have submitted this application correctly you will receive the message, "Thanks for submitting your Palmetto Prime application online!" Submit your Completed Application
