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Palmetto Prime

Membership Application

Instructions:

1. To complete your application online, please fill out the fields below and click the submit button. Fields with a red * are required.
2. If your application is filled out correctly, you will receive a thank you message on your screen.
3. Friendly reminder: Your membership is not complete until we receive your $30 dues using Zelle, mailed to us, or given in person at an event.

Please enable JavaScript in your browser to complete this form.

First Name *

Last Name *

tell "Suggestions" Dues:

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 member
Newsletter
Food preparation for events
Party/event host
Assist members in need
Drivers for events
Committee member
Host visiting members
Accounting
Event organizing
Web site
Social Event coordinator

Check your interests below. Use the "Suggestions" line to add specific interests not listed: *

Music
Dine-out
Shopping
Traveling
Movies
Sports
Crafts
Lunch
Antiquing/flea markets
Ship cruises
StageShows
Nature walks
Hobbies
Potlucks
Board games
Boating
Musicals
Health topics
Home Improvements
Picnics
Card games
Photography
Museums
Gym Workouts
Gardening
Happy hours
Cooking
Book groups
Beach days
Aquarium visit

Suggestions

Check the items you agree with: *

I AGREE you can use my full name in Chapter correspondence, i.e., John Smith OR
Please 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 information
DO NOT use my photograph in any Chapter correspondence or website.

Dues: Thanks for submitting your application online to Palmetto Prime! To complete the membership process, please be sure to pay your dues ($30). Check one of the three options below to tell us how you plan to pay your dues. *

I will use ZELLE through most banks and send my dues to: primetimerscharleston@yahoo.com
I will send a check made out to “Palmetto Prime” to the contact information in the next section below. {Please do not send cash through the mail).
I will deliver my dues In-person at an event

Affirmation: Please check the box to indicate that you have read, understand, and agree to the following when you sign and submit this application. *

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 *

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!"

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