Membership Application - Sonoma County Japanese American Citizens League

If you are having difficulty with the online form, a printable version is available here.

Membership Application Type *New MembershipRenewing MembershipGift Membership

Member ID# (Optional)

Contact Information ChangePlease check if any of your contact information has recently changed

Recipient's Information

First Name *

Last Name *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country

Phone *

Email Address

Gifter First Name *

Gifter Last Name *

Gifter Street Address *

Gifter City *

Gifter State/Province *

Gifter ZIP/Postal Code *

Gifter Country

Phone *

Email Address

Please check here if you (the Member) will be 70+ by October 2026We celebrate our 70+ seniors each year at our Keiro Kai event

Total