Prefix:
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
First Name:
Middle/Initial:
Last Name:
Suffix:
Title: (such as Biology Teacher, retired Biology Teacher, etc.)
Company / Organization:
Address Type:
Home
Work
School
Other
Address:
Address Line 2
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip Code:
-
Zip Suffix
Home Phone:
Email:
If you wish, you may include additional contact information, such as a business or winter address, or a mobile or work phone.
Address Type:
Home
Work
School
Other
Address:
Address 2 Line 2
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip Code:
-
Address 2 Zip Suffix
Phone 2:
Email 2:
If you would like to join as a Student Member, please contact the City Club office for registration at #208-364-4614. Please be ready to provide School information.
Membership:
City Club members have permanent name tags that will be available for you to use at City Club events. These are kept with City Club, and you pick them up when you check in to events. Please list your name as you would like it to appear on that name tag.
Name for use on Name Tag
The Member Directory is available to only City Club Members for viewing. If you would like to be excluded from the Membership Directory, as you are viewing the directory (while logged in) select: "Update my profile listed on the membership directory." Then on the next page they would select "No" for "Would you like to display your contact information on the membership directory?".