United States Jaycees Foundation
New Contributor Registration

By registering as a contributor you will be able to make a contribution, keep your personal information up to date or generate contribution reports for your records. An email is required for all confirmations and username and password recovery. By providing this information, the next time you make a contribution, the contribution form will pre-populate with this information saving you time and helping with accuracy.

State or chapters making a contribution enter the name of the State or chapter in the First Name field and the word Jaycees in the Last Name field.

Please provide the required information below:

Items marked with a * are required fields.
 

Status:
Prefix:
First Name *:
Last Name *:
Suffix/Designation:
(Jr., Sr., CPA, CAE, etc.)

Contact Address *:
Contact City *:
Contact State *:
Contact Country:
Contact Zip/Postal Code *:
Contact Phone *:
Contact Email *:
Your email address will be your username.
 
Password *:
 

(Choose a password at least 6 characters and no more than 20)
 

MAKE NOTE THAT YOUR USERNAME IS YOUR EMAIL AND MAKE NOTE OF YOUR  PASSWORD .  THE NEXT STEP OF THE PROCESS WILL ASK YOU TO LOGIN USING YOUR USERNAME AND PASSWORD.  IF YOU DO NOT MAKE A NOTE OF THESE NOW YOU WILL HAVE TO WAIT FOR THE CONFIRMATION EMAIL WE WILL SEND YOU.

When submitted you will receive an email confirming this submission with your username and password.  Please keep this in a place where you may find it when you need it.