Renew Membership

Klub No:
Member Name 1:*
First Last
Member 1 Phone and Email:*
Phone Email
Member Name 2:
First Last
Member 2 Phone and Email:
Phone Email
Primary Address:*
Street Address City State / Province / Region ZIP / Postal Code
Dates at Primary Address:
Secondary Address (if applicable):
Street Address City State / Province / Region ZIP / Postal Code
Dates at Secondary Address:
Indicate your desire to be counted in your home State/Province or as Fulltimers.
Membership Renewal Choices*
- One Year - $65.00 (does not include service benefit)
- Three years - $150
- Lifetime - $900
If choosing Lifetime, please indicate what you'd like your Lifetime sign to say (please see examples):
Need to renew your Klub Magazine Subscription?
- One Year - $15.00
Total
$0.00
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Lifetime sign examples:

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