Membership Application Instructions:To complete your application online, please fill out the fields below and click the submit button. Fields with a red * are required.If your application is filled out correctly, you will receive a thank you message on your screen.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.Please enable JavaScript in your browser to complete this form.First Name *Last Name *Street Address *City * please application. agree State *Zip Code *Email *Phone *United States +1United States+1United Kingdom+44Afghanistan+93Albania+355Algeria+213American Samoa+1Andorra+376Angola+244Anguilla+1Antigua & Barbuda+1Argentina+54Armenia+374Aruba+297Ascension Island+247Australia+61Austria+43Azerbaijan+994Bahamas+1Bahrain+973Bangladesh+880Barbados+1Belarus+375Belgium+32Belize+501Benin+229Bermuda+1Bhutan+975Bolivia+591Bosnia & Herzegovina+387Botswana+267Brazil+55British Indian Ocean Territory+246British Virgin Islands+1Brunei+673Bulgaria+359Burkina Faso+226Burundi+257Cambodia+855Cameroon+237Canada+1Cape Verde+238Caribbean Netherlands+599Cayman Islands+1Central African Republic+236Chad+235Chile+56China+86Christmas Island+61Cocos (Keeling) Islands+61Colombia+57Comoros+269Congo - Brazzaville+242Congo - Kinshasa+243Cook Islands+682Costa Rica+506Croatia+385Cuba+53Curaçao+599Cyprus+357Czechia+420Côte d’Ivoire+225Denmark+45Djibouti+253Dominica+1Dominican Republic+1Ecuador+593Egypt+20El Salvador+503Equatorial Guinea+240Eritrea+291Estonia+372Eswatini+268Ethiopia+251Falkland Islands+500Faroe Islands+298Fiji+679Finland+358France+33French Guiana+594French Polynesia+689Gabon+241Gambia+220Georgia+995Germany+49Ghana+233Gibraltar+350Greece+30Greenland+299Grenada+1Guadeloupe+590Guam+1Guatemala+502Guernsey+44Guinea+224Guinea-Bissau+245Guyana+592Haiti+509Honduras+504Hong Kong SAR China+852Hungary+36Iceland+354India+91Indonesia+62Iran+98Iraq+964Ireland+353Isle of Man+44Israel+972Italy+39Jamaica+1Japan+81Jersey+44Jordan+962Kazakhstan+7Kenya+254Kiribati+686Kosovo+383Kuwait+965Kyrgyzstan+996Laos+856Latvia+371Lebanon+961Lesotho+266Liberia+231Libya+218Liechtenstein+423Lithuania+370Luxembourg+352Macao SAR China+853Madagascar+261Malawi+265Malaysia+60Maldives+960Mali+223Malta+356Marshall Islands+692Martinique+596Mauritania+222Mauritius+230Mayotte+262Mexico+52Micronesia+691Moldova+373Monaco+377Mongolia+976Montenegro+382Montserrat+1Morocco+212Mozambique+258Myanmar (Burma)+95Namibia+264Nauru+674Nepal+977Netherlands+31New Caledonia+687New Zealand+64Nicaragua+505Niger+227Nigeria+234Niue+683Norfolk Island+672North Korea+850North Macedonia+389Northern Mariana Islands+1Norway+47Oman+968Pakistan+92Palau+680Palestinian Territories+970Panama+507Papua New Guinea+675Paraguay+595Peru+51Philippines+63Poland+48Portugal+351Puerto Rico+1Qatar+974Romania+40Russia+7Rwanda+250Réunion+262Samoa+685San Marino+378Saudi Arabia+966Senegal+221Serbia+381Seychelles+248Sierra Leone+232Singapore+65Sint Maarten+1Slovakia+421Slovenia+386Solomon Islands+677Somalia+252South Africa+27South Korea+82South Sudan+211Spain+34Sri Lanka+94St. Barthélemy+590St. Helena+290St. Kitts & Nevis+1St. Lucia+1St. Martin+590St. Pierre & Miquelon+508St. Vincent & Grenadines+1Sudan+249Suriname+597Svalbard & Jan Mayen+47Sweden+46Switzerland+41Syria+963São Tomé & Príncipe+239Taiwan+886Tajikistan+992Tanzania+255Thailand+66Timor-Leste+670Togo+228Tokelau+690Tonga+676Trinidad & Tobago+1Tunisia+216Turkey+90Turkmenistan+993Turks & Caicos Islands+1Tuvalu+688U.S. Virgin Islands+1Uganda+256Ukraine+380United Arab Emirates+971United Kingdom+44United States+1Uruguay+598Uzbekistan+998Vanuatu+678Vatican City+39Venezuela+58Vietnam+84Wallis & Futuna+681Western Sahara+212Yemen+967Zambia+260Zimbabwe+263Åland Islands+358Birth 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.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 my bank and send my dues to: primetimerscharleston@yahoo.com.I will send my check for $30 to Palmetto Prime, PO Box 80842, Charleston, SC 29416.I will bring my $30 dues to the next Chapter 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 this you 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