• Member Application

    Welcome to the Paddle Pushers Kayak Club

    Please fill out this form to join the club. For the Company Name field enter your first and last name. Fields marked with a an asterisk * are required fields. The other fields are optional.

    On this form is a member login of your choosing. Once logged in to the member center you are able to define which contact information from this form is visible to other members. No contact information is visible to the public. Administrators of the site will always have access to contact information.
    Business Information
    Primary Contact Information
    Contact Preference:

    Address

    Membership Options
    Membership Package: *
    Payment Option:
    In the effort to fight spam, please provide the answer to the following question.
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